Organization Active NPI

Atilem Homes

  • Community/Behavioral Health Agency
  • Canton, OH
National Provider Identifier
1922353226
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
251S00000X Issued in OH
Legal business name
ATILEM HOMES
Practice address
938 Sherrick Rd SE
Canton, OH 44707-3527
Phone
(330) 936-8059
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Mr. Rashaud Polk
Title
Ceo
Phone
(330) 936-8059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 251S00000X OH Primary

Addresses

Primary practice location

938 Sherrick Rd SE
Canton, OH 44707-3527

Mailing address

938 Sherrick Rd SE
Canton, OH 44707-3527
Phone (330) 936-8059

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1922353226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 SHERRICK RD SE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447073527",
            "telephone_number": "330-936-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 SHERRICK RD SE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447073527",
            "telephone_number": "330-936-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATILEM HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "RASHAUD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-936-8059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 23, 2012; 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.