Active NPI
Excellence Expected Home Health Services LLC
- Developmentally Disabled Services Day Training Agency
- Canton, OH
National Provider Identifier
1801353073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- EXCELLENCE EXPECTED HOME HEALTH SERVICES LLC
- Practice address
- 2143 Old Elm St NE
Canton, OH 44721-1798 - Phone
- (330) 770-5817
- NPI assigned
- Feb 25, 2019
- 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
- Eric Baldwin
- Title
- Owner
- Phone
- (330) 937-1785
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Day Training/Habilitation Specialist | 373H00000X |
Addresses
Primary practice location
2143 Old Elm St NE
Canton, OH 44721-1798
Mailing address
2143 Old Elm St NE
Canton, OH 44721-1798
Phone (330) 770-5817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0323935 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551052800000",
"number": "1801353073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2143 OLD ELM ST NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447211798",
"telephone_number": "330-770-5817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2143 OLD ELM ST NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447211798",
"telephone_number": "330-770-5817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENCE EXPECTED HOME HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-25",
"last_updated": "2019-02-25",
"status": "A",
"authorized_official_last_name": "BALDWIN",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-937-1785"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0323935",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.