Organization Active NPI

Canton 4550 Opco LLC

Doing business as Aviva Hills

  • Assisted Living Facility
  • Canton, OH
National Provider Identifier
1851146708
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CANTON 4550 OPCO LLC
Doing business as
Aviva Hills
Practice address
4550 Hills and Dales Rd NW
Canton, OH 44708-1508
Phone
(330) 477-5727
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Stacey Hess
Title
Controller
Phone
(904) 534-9077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4550 Hills and Dales Rd NW
Canton, OH 44708-1508

Mailing address

4550 Hills and Dales Rd NW
Canton, OH 44708-1508
Phone (260) 740-3220

Other names 1

  • Aviva Hills Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2145163Canton 4550 Opco, LLC Dba Aviva Hills4550 Hills and Dales Rd NW, Canton, OH 44708Certificate of waiverMar 1, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1851146708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081508",
            "telephone_number": "260-740-3220",
            "fax_number": "260-498-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081508",
            "telephone_number": "330-477-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON 4550 OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "904-534-9077"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aviva Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aviva Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.