Active NPI
Netsource Health Services LTD
- Nursing Care Agency
- Canton, OH
National Provider Identifier
1497849848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- COA.05016-NP
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2341291 | Medicaid | OH |
Other names 1
- SHIRLEY MCINTOSH
National Provider Directory
National Provider DirectoryNPI 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.