NPIMap

Organization Active NPI

Aultman Hospital

Doing business as Aultman Hospice

  • Community Based Hospice Care Agency
  • Canton, OH
National Provider Identifier
1700972601
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0066HSP Issued in OH
Legal business name
AULTMAN HOSPITAL
Doing business as
Aultman Hospice
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
Mrs. Jennifer Profitt
Title
Vice President
Phone
(330) 479-2378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0066HSP OH 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) 479-2378

Other practice location 1

270 E State St Ste 130
Alliance, OH 44601-4309
Phone (330) 596-7480

Other identifiers 1

IdentifierTypeStateIssuer
0863678MedicaidOH

Other names 1

  • Aultman Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120209000784 OH Part A Provider - Hospice 3779485867 Practice locations: Alliance, OH; Canton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700972601. Details of each certification follow.

Hospice certification: CCN 361556

Legal name
AULTMAN HOSPITAL
Doing business as
AULTMAN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 11, 1991
Last certification
Mar 7, 2014
Ownership / control type
Combination Government and Nonprofit
Organization structure
CorporationNon-profit
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: Hospice

Medicare Care Compare
Listed as
Aultman HospiceCCN 361556 · All quality measures
Ownership
Other
Certified
Sep 11, 1991
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Family Prac Ctr Canton14 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 4

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

NameRoleSinceShare
Robert Mullen Individual Corporate OfficerCeo Sep 1, 2024
Corporate DirectorCeo Sep 1, 2024
W-2 Managing EmployeeCeo Sep 1, 2024
Mark Wright Individual Corporate OfficerCfo Aug 1, 2002
W-2 Managing EmployeeCfo Aug 1, 2002
Operational/Managerial ControlCfo Aug 1, 2002
Aultman Health Foundation Organization, Canton, OH Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2012 100%
Adam Luntz Individual Corporate OfficerCfo Jan 1, 2024
Corporate DirectorCfo Jan 1, 2024

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aultman Hospital Health Care in Your HomeCanton, OH, CCN 367290 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2001

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Aultman Hospital

    dba Aultman Health Care In Your Home

    • Home Health Agency
    • Canton, OH
    • NPI 1669568564

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

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": "1700972601",
    "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": "330-479-2378",
            "fax_number": "330-479-4804"
        },
        {
            "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": [
        {
            "address_1": "270 E State St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014309",
            "country_code": "US",
            "telephone_number": "330-596-7480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": "PROFITT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "330-479-2378",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0066HSP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0863678",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aultman Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aultman Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.