Canterbury Management Group, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CANTERBURY MANAGEMENT GROUP, LLC

Practice address

146 Stateline Rd
Lowellville, OH 44436

Phone

(330) 565-3300

NPI assigned

Dec 17, 2020

Last updated

Nov 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William A. Delorenzo, LNHA

Title

Principal

Phone

(330) 565-3300

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Canterbury Management Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Canterbury Management Group, LLC

  • Home Modifications Contractor
  • Lowellville, OH
  • NPI 1528778636
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Canterbury Management Group, LLC

  • Home Modifications Contractor
  • Lowellville, OH
  • NPI 1528778636
  NPPES parent name

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1841886512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 STATELINE RD",
            "city": "LOWELLVILLE",
            "state": "OH",
            "postal_code": "44436",
            "telephone_number": "330-565-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 STATELINE RD",
            "city": "LOWELLVILLE",
            "state": "OH",
            "postal_code": "44436",
            "telephone_number": "330-565-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTERBURY MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "DELORENZO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "330-565-3300",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lowellville",
            "affiliation": "N",
            "endpointDescription": "ohio",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Lowellville",
            "address_1": "146 Stateline Rd",
            "city": "Lowellville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalie Bacon
• Daniel Bondi
• Raven Brady
• Canterbury Management Group, LLC
• Coitsville Township
• Keith Robert Demetro
• Bree Filip, ATC, LAT
• Kelly D Floyd
• Tyler Ray Hanes

• Mental Illness Community Based Residential Treatment Facility in Lowellville, OH
• Providers in Lowellville, OH by specialty
• Mental Illness Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.