Active NPI
Canton Christian Home
- Nursing Facility/Intermediate Care Facility
- Canton, OH
National Provider Identifier
1376628230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 1618N
- Legal business name
- CANTON CHRISTIAN HOME
- Practice address
- 2550 Cleveland Ave NW
Canton, OH 44709-3306 - Phone
- (330) 456-0004
- Fax
- (330) 452-9951
- NPI assigned
- Oct 26, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. A. Thomas Strobl
- Title
- Administrator
- Phone
- (330) 456-0004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 1618N | OH | Primary |
Addresses
Primary practice location
2550 Cleveland Ave NW
Canton, OH 44709-3306
Mailing address
2550 Cleveland Ave NW
Canton, OH 44709-3306
Phone (330) 456-0004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0345237 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Canton Christian Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Canton, OH
- NPI 1982605507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376628230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447093306",
"telephone_number": "330-456-0004",
"fax_number": "330-452-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447093306",
"telephone_number": "330-456-0004",
"fax_number": "330-452-9951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANTON CHRISTIAN HOME",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STROBL",
"authorized_official_first_name": "A.",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "330-456-0004",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "OH",
"license": "1618N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0345237",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
- Canton Care Operations, LLC (Gables of Canton)
- Canton Care, LLC (Arbors at Canton Subacute & Rehabilitation Center)
- Canton Child Neurology LLC (Canton Child Neurology)
- Canton Chiropractic Acupuncture Clinic (Dr.rai)
- Canton Chiropractic Center
- Canton Christian Home, Inc
- Canton City School District
- Canton College Preparatory School
- Canton Community Kidsummit Against Drugs (KidSummit Against Drugs)
- Canton Endovascular & Cardiothoracic Surgery, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.