Embrace Independence LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMBRACE INDEPENDENCE LLC

Practice address

5470 Cherokee Ave NW
North Canton, OH 44720-6844

Phone

(330) 933-8880

Fax

(330) 232-9796

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Cheryl Gammon, DONPI 1154923928

Title

Director of Operations

Phone

(330) 933-8880

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Gammon

  • Attendant Care Provider
  • Hartville, OH
  • NPI 1154923928
  NPD Authorized official
• Douglas L Gammon

  • Home Health Aide
  • Hartville, OH
  • NPI 1982557971
  NPD (past)

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1497466601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12091 BYERS AVE NE",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329724",
            "telephone_number": "330-933-8880",
            "fax_number": "330-232-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 CHEROKEE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447206844",
            "telephone_number": "330-933-8880",
            "fax_number": "330-232-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "GAMMON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "330-933-8880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in North Canton, OH
• Providers in North Canton, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.