NPIMap

Organization Active NPI

Aultman Hospital

Doing business as Aultman Hospital Rehab

  • Rehabilitation Hospital Unit
  • Canton, OH
National Provider Identifier
1740222009
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
AULTMAN HOSPITAL
Doing business as
Aultman Hospital Rehab
Practice address
2821 Woodlawn Ave NW
Canton, OH 44708-1423
Phone
(330) 479-4800
NPI assigned
Jun 12, 2006
Last updated
Oct 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Mark Wright
Title
Cfo
Phone
(330) 452-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

2821 Woodlawn Ave NW
Canton, OH 44708-1423

Mailing address

2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 452-9911

Other names 1

  • AULTMAN HOSPITAL REHAB Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120213000446 OH Part A Provider - Hospital 3779485867 Practice locations: Canton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740222009. Details of each certification follow.

Hospital certification: CCN 36T084

Legal name
AULTMAN HOSPITAL
Doing business as
AULTMAN REHABILITATION CENTER
Organization structure
CorporationNon-profit
Incorporated
Jul 11, 1891 in OH
Enrollment address
2821 Woodlawn Ave NW
Canton, OH 44708-1423
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

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: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Aultman WoodlawnCCN 36T084 · All quality measures
Ownership
Non-profit
Certified
Oct 3, 1996

National Provider Directory

National Provider Directory
Tax ID family
Aultman Hosp Physicians14 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

Locations

3731 Sunset Ln
Ste 102
Antioch, CA 94509
Phone (707) 631-1716

1900 S Union Ave
#101
Alliance, OH 44601

2600 6th St SW
Ste 600
Canton, OH 44710

2615 Tuscarawas St W
Canton, OH 44708
Phone (330) 363-0000

4650 Hills and Dales Rd NW
Ste 200
Canton, OH 44708
Phone (330) 491-9675

2021 Wales Ave NW
Ste 300
Massillon, OH 44646

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Mark Wright Individual Corporate OfficerCfo Aug 1, 2002 100%
Operational/Managerial ControlCfo Aug 1, 2002
Adam Luntz Individual Corporate OfficerCfo Mar 1, 2014
Operational/Managerial ControlCfo Mar 1, 2014
Rick Haines Individual Corporate DirectorBoard MBR Jan 1, 2000

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

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1740222009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-452-9911"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AULTMAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-452-9911"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AULTMAN HOSPITAL REHAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AULTMAN HOSPITAL REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.