Tandem Health Care of Massillon, in.C

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2095N Issued in OH

Legal business name

TANDEM HEALTH CARE OF MASSILLON, IN.C

Doing business as

Legends Care Center

Practice address

2311 Nave Rd SE
Massillon, OH 44646-8822

Phone

(330) 837-1001

Fax

(330) 837-1623

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Conte

Title

Chief Operating Officer

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legends Care Center Doing business as

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760427629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CONCOURSE PKWY S",
            "address_2": "SUITE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516148",
            "telephone_number": "407-571-1550",
            "fax_number": "407-571-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 NAVE RD SE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468822",
            "telephone_number": "330-837-1001",
            "fax_number": "330-837-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM HEALTH CARE OF MASSILLON, IN.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2095N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150309",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legends Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam J Swed, LPC, CDCA
• Peter Sweitzer
• Bobbi J Szalay, M.ED.
• Christina Marie Szarka
• Anita R Ta, DDS
• Joni Tarbert
• Jennifer M. Tarr, M.D.
• Tiffany Tarver, RN
• Nichole Tatum
• Kristin Temsic, MSN, APRN, FNP-C

• Skilled Nursing Facility in Massillon, OH
• Providers in Massillon, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.