Lifecare Family Health and Dental Center, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC

Practice address

715 2ND St NE
Canton, OH 44704-1128

Phone

(330) 454-2000

NPI assigned

Apr 4, 2025

Last updated

Apr 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric Niemeyer, JD, MBA

Title

Chief Executive Officer

Phone

(330) 454-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lifecare Family Health and Dental Center, Inc

  dba Canton Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Canton, OH
  • NPI 1013964923

  O20131031001454

  Same enrollment
• Lifecare Family Health and Dental Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Massillon, OH
  • NPI 1134959000

  O20131031001454

  Same enrollment
• Lifecare Family Health and Dental Center, Inc

  dba Canton Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Canton, OH
  • NPI 1851592034

  O20131031001454

  Same enrollment
• Lifecare Family Health and Dental Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Massillon, OH
  • NPI 1144694621

  O20131031001454

  Same enrollment

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1437943669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 LINCOLN ST E",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447072769",
            "telephone_number": "330-454-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 2ND ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447041128",
            "telephone_number": "330-454-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "NIEMEYER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "330-454-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD, MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Ann Lieser, CNS
• Life Bridge LLC (Life Bridge)
• Life Bridge Services
• Life Simplified, LLC
• Lifecare Family Health and Dental Center, Inc (Canton Community Clinic)
• Lifecare Family Health and Dental Center, Inc (Canton Community Clinic)
• Jean Rachel Ligas, PHARMD
• Deborah Liggett, LPCC
• Lighthouse Family Center, LTD.
• Teaira Lee Lightner

• Federally Qualified Health Center (FQHC) in Canton, OH
• Providers in Canton, OH by specialty
• Federally Qualified Health Center (FQHC) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.