Organization Active NPI

DHSC LLC

  • Skilled Nursing Facility
  • Massillon, OH
National Provider Identifier
1356375802
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DHSC LLC
Practice address
875 8TH St NE
Massillon, OH 44646-8503
Phone
(330) 832-8761
Fax
(330) 837-6871
NPI assigned
Jul 10, 2006
Organization subpart
Yes
Parent organization
DHSC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Laurie Holtsford
Title
Director of Business Office Support
Phone
(615) 465-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

875 8TH St NE
Massillon, OH 44646-8503

Mailing address

PO Box 10390
Fort Wayne, IN 46852-0390
Phone (330) 832-8761

Other identifiers 1

IdentifierTypeStateIssuer
5589420MedicaidOH

Other names 1

  • Affinity Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
DHSC LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

845 8th St NE
#3
Massillon, OH 44646
Phone (330) 830-3258

2819 Aaronwood Ave NE
Massillon, OH 44646
Phone (330) 837-8300

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1356375802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10390",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468520390",
            "telephone_number": "330-832-8761",
            "fax_number": "330-837-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-832-8761",
            "fax_number": "330-837-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHSC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHSC LLC",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE SUPPORT",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5589420",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Medical Center",
            "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 Aug 14, 2007; 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.