Active NPI
Visiting Nurse Service
Doing business as Stark County Visiting Nurse Service
- Home Health Agency
- Massillon, OH
National Provider Identifier
1780777938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 810120
- Legal business name
- VISITING NURSE SERVICE
- Doing business as
- Stark County Visiting Nurse Service
- Practice address
- 100 Lincoln Way E
Suite 110
Massillon, OH 44646-6673 - Phone
- (330) 837-6873
- Fax
- (330) 837-6829
- NPI assigned
- Oct 2, 2006
- Organization subpart
- Yes
- Parent organization
- VISITING NURSE SERVICE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Micki Mijailovic
- Title
- Manager of Patient Accounts
- Phone
- (330) 861-6111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 810120 | OH | Primary |
Addresses
Primary practice location
100 Lincoln Way E
Suite 110
Massillon, OH 44646-6673
Mailing address
#1 Home Care Place
Akron, OH 44320
Phone (330) 837-6873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9072953 | Medicaid | OH |
Other names 1
- Stark County Visiting Nurse Service
National Provider Directory
National Provider Directory- Part of
- Visiting Nurse Service Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Cleveland Clinic Independence Ambulatory Pharmacy
- Community/Retail Pharmacy
- Independence, OH
- NPI 1033549712
Member Of
Locations
100 Lincoln Way E
Ste 110
Massillon, OH 44646
Phone (330) 837-6873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303689600000",
"number": "1780777938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#1 HOME CARE PLACE",
"city": "AKRON",
"state": "OH",
"postal_code": "44320",
"telephone_number": "330-837-6873",
"fax_number": "330-837-6829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LINCOLN WAY E",
"address_2": "SUITE 110",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446466673",
"telephone_number": "330-837-6873",
"fax_number": "330-837-6829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING NURSE SERVICE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VISITING NURSE SERVICE",
"enumeration_date": "2006-10-02",
"last_updated": "2011-04-25",
"status": "A",
"authorized_official_last_name": "MIJAILOVIC",
"authorized_official_first_name": "MICKI",
"authorized_official_title_or_position": "MANAGER OF PATIENT ACCOUNTS",
"authorized_official_telephone_number": "330-861-6111",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "810120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9072953",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stark County Visiting Nurse Service",
"code": "3",
"type": "Doing Business As"
}
]
}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 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.