NPIMap

Organization Active NPI

Lifecare Family Health and Dental Center, Inc.

  • Community/Retail Pharmacy
  • Massillon, OH
National Provider Identifier
1316871817
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC.
Practice address
830 Amherst Rd NE
Massillon, OH 44646-8518
Phone
(330) 454-2000
NPI assigned
Jun 10, 2026
Organization subpart
Yes
Parent organization
LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric B. Blake
Title
Chief Compliance Officer
Phone
(740) 452-7685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

830 Amherst Rd NE
Massillon, OH 44646-8518

Mailing address

830 Amherst Rd NE
Massillon, OH 44646-8518

Other names 1

  • Lifecare Community Health Center, Inc Lifecare Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Canton Community Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1316871817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468518",
            "telephone_number": "330-454-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC.",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "740-452-7685"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifecare Community Health Center, Inc Lifecare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.