Active NPI
Sharon Oliver
- Mental Illness Community Based Residential Treatment Facility
- Canton, OH
National Provider Identifier
1669194353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Practice address
- 513 Gobel Ave SE
Canton, OH 44707-2721 - Phone
- (330) 323-0662
- Fax
- (330) 639-4747
- NPI assigned
- Sep 19, 2022
- Last updated
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
513 Gobel Ave SE
Canton, OH 44707-2721
Mailing address
PO Box 146
Bolivar, OH 44612-0146
Phone (330) 323-0662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1669194353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 146",
"city": "BOLIVAR",
"state": "OH",
"postal_code": "446120146",
"telephone_number": "330-323-0662",
"fax_number": "330-639-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 GOBEL AVE SE",
"city": "CANTON",
"state": "OH",
"postal_code": "447072721",
"telephone_number": "330-323-0662",
"fax_number": "330-639-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "SHARON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.