Peregrine Services of Canton, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PEREGRINE SERVICES OF CANTON, LLC

Practice address

836 34TH St NW
Canton, OH 44709-2947

Phone

(614) 459-2482

Fax

(614) 459-2641

NPI assigned

Sep 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul M Dauerman

Title

Ceo

Phone

(614) 459-2656

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summit'sTrace of Canton Doing business as

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1629264379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 OLD HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203644",
            "telephone_number": "614-459-2656",
            "fax_number": "614-459-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 34TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447092947",
            "telephone_number": "614-459-2482",
            "fax_number": "614-459-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREGRINE SERVICES OF CANTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "DAUERMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-459-2656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2771095",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit'sTrace of Canton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• People Helping People Home Services
• Alexandria Peoples
• Endia Peoples, LPC
• Nicole Jean Percy
• Jennifer M Perdue, RD,LD
• Jessica Perez-Carrillo
• Danielle Perez, RN, BSN
• Eric Perez, D.C.
• Kelly Lynn Perez, C.N.P.
• Perfect Choice Provider Services LLC

• Skilled Nursing Facility in Canton, OH
• Providers in Canton, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.