NPIMap

Organization Active NPI

Viaquest Healthcare Central

Doing business as Massillon 1608

  • Intellectual Disabilities Intermediate Care Facility
  • Massillon, OH
National Provider Identifier
1417628314
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
VIAQUEST HEALTHCARE CENTRAL
Doing business as
Massillon 1608
Practice address
1608 Forest Ave SE
Massillon, OH 44646-8330
Phone
(614) 339-0814
NPI assigned
Sep 22, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Nancy Housman
Title
Director of Billing
Phone
(614) 339-0814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1608 Forest Ave SE
Massillon, OH 44646-8330

Mailing address

525 Metro PL N Ste 300
Dublin, OH 43017-5320
Phone (614) 339-0814

Other names 1

  • Massillon 1608 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417628314. Details of each certification follow.

  • CCN 36G241 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G241

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
1608 FOREST AVENUE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 13, 1986
Last certification
Oct 15, 2025
Beds
11
Ownership / control type
Private (proprietary)
Facility address
1608 Forest Avenue
Massillon, OH 44646

National Provider Directory

National Provider Directory
Tax ID family
Viaquest Healthcare30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1417628314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 METRO PL N STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175320",
            "telephone_number": "614-339-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 FOREST AVE SE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468330",
            "telephone_number": "614-339-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIAQUEST HEALTHCARE CENTRAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "HOUSMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "614-339-0814"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massillon 1608",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.