Active NPI
XL Developmental Services, Inc.
- Home Health Agency
- Canton, OH
National Provider Identifier
1669072583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- XL DEVELOPMENTAL SERVICES, INC.
- Practice address
- 4403 19TH St NW
Canton, OH 44708 - Phone
- (330) 478-3355
- NPI assigned
- Oct 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darcy Gayheart
- Title
- Vice President
- Phone
- (330) 478-3355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4403 19TH St NW
Canton, OH 44708
Mailing address
PO Box 35442
Canton, OH 44735-5442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0120817 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603929600000",
"number": "1669072583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35442",
"city": "CANTON",
"state": "OH",
"postal_code": "447355442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 19TH ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "44708",
"telephone_number": "330-478-3355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XL DEVELOPMENTAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A",
"authorized_official_last_name": "GAYHEART",
"authorized_official_first_name": "DARCY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "330-478-3355"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0120817",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.