Organization Active NPI

Heart That Heals LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • North Canton, OH
National Provider Identifier
1861158925
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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

Updated by the provider on Nov 12, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0412451MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.