Active NPI
Haven Skilled Care of Canton LLC
- Home Health Agency
- Fairlawn, OH
National Provider Identifier
1710235825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HAVEN SKILLED CARE OF CANTON LLC
- Practice address
- 150 N Miller Rd Ste 350a
Fairlawn, OH 44333-3779 - Phone
- (330) 305-6699
- Fax
- (330) 305-6856
- NPI assigned
- Aug 21, 2012
- Last updated
- Oct 26, 2017
- 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
- Shannon Spalek
- Title
- Bookkeeper
- Phone
- (234) 312-4980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
150 N Miller Rd Ste 350a
Fairlawn, OH 44333-3779
Mailing address
11366 Cleveland Ave NW
Ste B
Uniontown, OH 44685-8078
Phone (330) 305-6699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093780 | Medicaid | OH |
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Haven Skilled Care
- Ownership
- Proprietary
- Certified
- Apr 15, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
150 N Miller Rd
Ste 350
Fairlawn, OH 44333
Phone (330) 305-6699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508976000000",
"number": "1710235825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11366 CLEVELAND AVE NW",
"address_2": "STE B",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446858078",
"telephone_number": "330-305-6699",
"fax_number": "330-305-6856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N MILLER RD STE 350A",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333779",
"telephone_number": "330-305-6699",
"fax_number": "330-305-6856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN SKILLED CARE OF CANTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-21",
"last_updated": "2017-10-26",
"status": "A",
"authorized_official_last_name": "SPALEK",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "BOOKKEEPER",
"authorized_official_telephone_number": "234-312-4980"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093780",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.