John S. Russell Enterprises

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

JOHN S. RUSSELL ENTERPRISES

Practice address

1807 Swanhurst Cir NE
North Canton, OH 44720-6196

Phone

(330) 312-1837

NPI assigned

Mar 7, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John Samuel Russell III

Title

Ceo

Phone

(330) 312-1837

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1425686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425686400000",
    "number": "1811380421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 SWANHURST CIR NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447206196",
            "telephone_number": "330-312-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 SWANHURST CIR NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447206196",
            "telephone_number": "330-312-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. RUSSELL ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-07",
        "last_updated": "2015-03-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-312-1837",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jerez, RN
• Sierra Jewell, PTA
• Garvin Jian, MD
• JKP Residential, LLC
• Jmiller Therapy LLC
• Clifford G Johnson, MD
• Eldridge Johnson Jr., COTA/L
• Elizabeth A Johnson, OTR/L
• Lexi Johnson, M.A CF-SLP
• Lisa Johnson, OTR/L

• Developmentally Disabled Services Day Training Agency in North Canton, OH
• Providers in North Canton, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2015; 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.