Smith Nursing Home, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

3135 Issued in OH

Legal business name

SMITH NURSING HOME, INC

Practice address

2330 Penn PL NE
Canton, OH 44704-2266

Phone

(330) 456-9070

Fax

(330) 456-2849

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Abraham Smith

Title

Administrator

Phone

(330) 456-9070

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph R Wasdovich, PHD

  • Clinical Psychologist
  • Akron, OH
  • NPI 1295772739
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780753582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 PENN PL NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447042266",
            "telephone_number": "330-456-9070",
            "fax_number": "330-456-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 PENN PL NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447042266",
            "telephone_number": "330-456-9070",
            "fax_number": "330-456-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-456-9070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "3135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8224308",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smart Care Connections LLC
• Richele Smart
• Timothy Lynn Smicklevich
• Monica Lynn Smiraldo, PT, DPT
• Michael L Smit, DO
• Alaina Smith, CT
• Amber Lynn Smith, M.A., P.C., A.T.R.
• Amelia Eris Smith, LISW
• Anna Smith
• Annieclifford Smith

• Nursing Facility/Intermediate Care Facility in Canton, OH
• Providers in Canton, OH by specialty
• Nursing Facility/Intermediate Care 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.