Organization Active NPI

Netsource Health Services LTD

  • Nursing Care Agency
  • Canton, OH
National Provider Identifier
1497849848
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
COA.05016-NP Issued in OH
Legal business name
NETSOURCE HEALTH SERVICES LTD
Practice address
2812 7TH St NW
Canton, OH 44708-4315
Phone
(330) 412-4327
NPI assigned
Oct 2, 2006
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Shirley I. D. McIntosh, N.P.
Title
Agent
Phone
(330) 412-4327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X COA.05016-NP OH Primary

Addresses

Primary practice location

2812 7TH St NW
Canton, OH 44708-4315

Mailing address

2812 7TH St NW
Canton, OH 44708-4315
Phone (330) 412-4327

Other identifiers 1

IdentifierTypeStateIssuer
2341291MedicaidOH

Other names 1

  • SHIRLEY MCINTOSH Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1497849848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 7TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084315",
            "telephone_number": "330-412-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 7TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084315",
            "telephone_number": "330-412-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETSOURCE HEALTH SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "I. D.",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "330-412-4327",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "COA.05016-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2341291",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIRLEY MCINTOSH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.