Advanced Provider Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ADVANCED PROVIDER SERVICES

Practice address

4194 Fulton Dr NW
Canton, OH 44718-2877

Phone

(330) 690-5414

Fax

(330) 266-7446

NPI assigned

Oct 30, 2020

Last updated

Oct 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Anne Wood

Title

HR Director

Phone

(330) 690-5414

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1518567320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4194 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182877",
            "telephone_number": "330-690-5414",
            "fax_number": "330-266-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4194 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182877",
            "telephone_number": "330-690-5414",
            "fax_number": "330-266-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROVIDER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "330-690-5414"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "advancedproviderservice@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4194 Fulton Dr NW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447182877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Canton, OH
• Providers in Canton, OH by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.