Active NPI
DHSC LLC
- Skilled Nursing Facility
- Massillon, OH
National Provider Identifier
1356375802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5589420 | Medicaid | OH |
Other names 1
- Affinity Medical Center
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.