NPIMap

Organization Active NPI

Aultman Hospital

Doing business as Aultman Health Care In Your Home

  • Home Health Agency
  • Canton, OH
National Provider Identifier
1669568564
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AULTMAN HOSPITAL
Doing business as
Aultman Health Care In Your Home
Practice address
2821 Woodlawn Ave NW
Canton, OH 44708-1423
Phone
(330) 479-4800
Fax
(330) 479-4804
NPI assigned
Oct 5, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Adam M Luntz
Title
Cfo
Phone
(330) 363-3889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2821 Woodlawn Ave NW
Canton, OH 44708-1423

Mailing address

2821 Woodlawn Ave NW
Canton, OH 44708-1423
Phone (330) 479-4805

Other identifiers 1

IdentifierTypeStateIssuer
0600335MedicaidOH

Other names 1

  • Aultman Health Care In Your Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120405000478 OH Part A Provider - Home Health Agency 3779485867 Practice locations: Canton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669568564. Details of each certification follow.

Home health agency certification: CCN 367290

Legal name
AULTMAN HOSPITAL
Doing business as
AULTMAN HOSPITAL HEALTH CARE IN YOUR HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1985
Last certification
Aug 7, 2015
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2001 in OH
Enrollment address
2821 Woodlawn Ave NW
Canton, OH 44708-1423

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aultman Health Care in Your HomeCCN 367290 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Jul 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
36D2179450Aultman Health Care in Your Home2821 Woodlawn Ave NW, Canton, OH 44708Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Aultman Hospital Phys-V14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas S Gregory Individual Corporate Officer Jan 1, 1999
Brian Belden Individual Corporate Officer Jan 1, 2011
Corporate DirectorBoard Member Jan 1, 2011
Aultman Hospital Organization, Canton, OH Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2001 100%
Mark Wright Individual Corporate OfficerCfo Aug 1, 2002 100%
William R Wallace Individual OtherM.D. Chair / Board Member Jan 1, 2022
John Humphrey Individual Corporate Officer Jan 1, 2000
Linda Casey Individual Operational/Managerial Control Apr 1, 2003
Milan Richard Dopirak Individual Corporate Officer Jan 1, 2003
Adam Luntz Individual Corporate OfficerCfo Aug 20, 2017
Corporate DirectorCfo Dec 1, 2019
W-2 Managing EmployeeCfo Aug 20, 2017
Rick Haines Individual Corporate OfficerAhf President & Ceo Jan 1, 2000

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 64

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1669568564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 WOODLAWN AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081423",
            "telephone_number": "330-479-4805",
            "fax_number": "330-479-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 WOODLAWN AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081423",
            "telephone_number": "330-479-4800",
            "fax_number": "330-479-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AULTMAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "LUNTZ",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-363-3889"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600335",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aultman Health Care In Your Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.