NPIMap

Organization Active NPI

DHSC LLC

  • Psychiatric Hospital Unit
  • Massillon, OH
National Provider Identifier
1508819798
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
PPH04-2460 Issued in OH
Legal business name
DHSC LLC
Practice address
400 Austin Ave NW
Massillon, OH 44646-3554
Phone
(330) 837-7200
Fax
(330) 830-1616
NPI assigned
May 18, 2006
Organization subpart
Yes
Parent organization
DHSC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Tara Richardson
Title
Authorized Official
Phone
(615) 221-3672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X PPH04-2460 OH Primary

Addresses

Primary practice location

400 Austin Ave NW
Massillon, OH 44646-3554

Mailing address

PO Box 10390
Fort Wayne, IN 46852-0390
Phone (330) 837-7200

Other identifiers 1

IdentifierTypeStateIssuer
0353853MedicaidOH

Other names 1

  • Affinity Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
DHSC LLC

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1508819798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10390",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468520390",
            "telephone_number": "330-837-7200",
            "fax_number": "330-830-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AUSTIN AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463554",
            "telephone_number": "330-837-7200",
            "fax_number": "330-830-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHSC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHSC LLC",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3672"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OH",
            "license": "PPH04-2460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353853",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.