Active NPI
Heart That Heals LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- North Canton, OH
National Provider Identifier
1861158925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- HEART THAT HEALS LLC
- Practice address
- 1204 N Main St
North Canton, OH 44720-1926 - Phone
- (234) 209-9830
- Fax
- (234) 209-9830
- NPI assigned
- Nov 12, 2021
- 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
- Ms. Autumn Jones
- Title
- Director
- Phone
- (330) 705-6263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
1204 N Main St
North Canton, OH 44720-1926
Mailing address
1204 N Main St
North Canton, OH 44720-1926
Phone (234) 209-9830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0412451 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1204 N Main St
North Canton, OH 44720
Phone (234) 209-9830
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- North Canton, OH
- NPI 1255097606
Residential Treatment Facility, Intellectual and/Or Developmental Disabilities
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636675200000",
"number": "1861158925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 N MAIN ST",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447201926",
"telephone_number": "234-209-9830",
"fax_number": "234-209-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 N MAIN ST",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447201926",
"telephone_number": "234-209-9830",
"fax_number": "234-209-9830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART THAT HEALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "AUTUMN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "330-705-6263",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0412451",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.