Organization Active NPI

Waterford Skilled Nursing LLC

  • Skilled Nursing Facility
  • North Canton, OH
National Provider Identifier
1538025127
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WATERFORD SKILLED NURSING LLC
Practice address
220 Applegrove St NE
North Canton, OH 44720-1610
Phone
(330) 499-8341
NPI assigned
Dec 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Israel Feldheim
Title
Manager
Phone
(330) 499-8341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

220 Applegrove St NE
North Canton, OH 44720-1610

Mailing address

20 N County Line Rd
Jackson, NJ 08527-0247
Phone (330) 499-8341

National Provider Directory

National Provider Directory
Tax ID family
Waterford Skilled Nursing LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1538025127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085270247",
            "telephone_number": "330-499-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 APPLEGROVE ST NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201610",
            "telephone_number": "330-499-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD SKILLED NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "FELDHEIM",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-499-8341"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.