NPIMap

Organization Active NPI

Oak Health Care Investors of Massillon, Inc.

Doing business as The Laurels of Massillon

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Massillon, OH
National Provider Identifier
1598847097
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
5162 Issued in OH
Legal business name
OAK HEALTH CARE INVESTORS OF MASSILLON, INC.
Doing business as
The Laurels of Massillon
Practice address
2000 Sherman Cir NE
Massillon, OH 44646-5219
Phone
(330) 830-9988
Fax
(330) 830-0039
NPI assigned
Oct 20, 2006
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Mr. Timothy Patton
Title
Cfo
Phone
(614) 794-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 5162 OH Primary

Addresses

Primary practice location

2000 Sherman Cir NE
Massillon, OH 44646-5219

Mailing address

2000 Sherman Cir NE
Massillon, OH 44646-5219
Phone (330) 830-9988

Other identifiers 4

IdentifierTypeStateIssuer
5162OtherOHNH LICENSE #
000000157450OtherOHBC/BS #
0283787MedicaidOH
7102005OtherOHUNITED HEALTH CARE ID #

Other names 1

  • THE LAURELS OF MASSILLON Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairport Enterprises Inc2 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.

Locations

2000 Sherman Cir NE
Massillon, OH 44646
Phone (330) 754-4431

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1598847097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SHERMAN CIR NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446465219",
            "telephone_number": "330-830-9988",
            "fax_number": "330-830-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SHERMAN CIR NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446465219",
            "telephone_number": "330-830-9988",
            "fax_number": "330-830-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HEALTH CARE INVESTORS OF MASSILLON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "5162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH LICENSE #",
            "identifier": "5162",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS #",
            "identifier": "000000157450",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283787",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID #",
            "identifier": "7102005",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF MASSILLON",
            "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 Oct 5, 2007; 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.