Active NPI
Midwest Community Services Inc.
- Child Intellectual and/or Developmental Disabilities Respite Care
- Massillon, OH
National Provider Identifier
1730321928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- MIDWEST COMMUNITY SERVICES INC.
- Practice address
- 11 Lincoln Way W
Ste. 5a
Massillon, OH 44647-6585 - Phone
- (330) 832-9582
- Fax
- (330) 833-7732
- NPI assigned
- Apr 2, 2009
- Last updated
- Apr 2, 2009
- 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
- Mr. Joseph Knetzer
- Title
- Owner
- Phone
- (330) 832-9582
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | NU | Primary |
Addresses
Primary practice location
11 Lincoln Way W
Ste. 5a
Massillon, OH 44647-6585
Mailing address
11 Lincoln Way W
Ste. 5a
Massillon, OH 44647-6585
Phone (330) 832-9582
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238630400000",
"number": "1730321928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 LINCOLN WAY W",
"address_2": "STE. 5A",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446476585",
"telephone_number": "330-832-9582",
"fax_number": "330-833-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 LINCOLN WAY W",
"address_2": "STE. 5A",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446476585",
"telephone_number": "330-832-9582",
"fax_number": "330-833-7732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST COMMUNITY SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-02",
"last_updated": "2009-04-02",
"status": "A",
"authorized_official_last_name": "KNETZER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-832-9582",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.