Organization Active NPI

The Inn at Whitewood Village

  • Assisted Living Facility
  • North Canton, OH
National Provider Identifier
1558783902
Registry record updated Jan 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE INN AT WHITEWOOD VILLAGE
Practice address
3146 Whitewood St NW
North Canton, OH 44720-8382
Phone
(330) 499-1399
Fax
(330) 499-1401
NPI assigned
Jan 19, 2014
Last updated
Jan 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2014

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

Authorized official

Name
Chad McCabe
Title
Executive Director
Phone
(330) 499-1399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

3146 Whitewood St NW
North Canton, OH 44720-8382

Mailing address

3146 Whitewood St NW
North Canton, OH 44720-8382
Phone (330) 499-1399

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2061375Inn at Whitewood Village3146 Whitewood St, North Canton, OH 44720Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390089600000",
    "number": "1558783902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 WHITEWOOD ST NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447208382",
            "telephone_number": "330-499-1399",
            "fax_number": "330-499-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 WHITEWOOD ST NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447208382",
            "telephone_number": "330-499-1399",
            "fax_number": "330-499-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INN AT WHITEWOOD VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-19",
        "last_updated": "2014-01-19",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-499-1399"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "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 Jan 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.