Organization Active NPI

Vip of Ohio, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Akron, OH
National Provider Identifier
1467053801
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
VIP OF OHIO, LLC
Practice address
2446 Audubon Rd
Akron, OH 44320-1010
Phone
(330) 937-8925
NPI assigned
Nov 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Mrs. Shaunda N Canty
Title
Owner/Ceo
Phone
(330) 937-8925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

2446 Audubon Rd
Akron, OH 44320-1010

Mailing address

3520 Kellybrook Dr
Cuyahoga Falls, OH 44223-2848
Phone (330) 937-8925

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1467053801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 KELLYBROOK DR",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232848",
            "telephone_number": "330-937-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 AUDUBON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201010",
            "telephone_number": "330-937-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "CANTY",
        "authorized_official_first_name": "SHAUNDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "330-937-8925",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.