Organization Active NPI

Waterford Skilled Nursing LLC

  • Assisted Living Facility
  • North Canton, OH
National Provider Identifier
1932026051
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WATERFORD SKILLED NURSING LLC
Practice address
220 Applegrove St NE
North Canton, OH 44720-1610
Phone
(330) 499-8341
NPI assigned
Jun 30, 2026
Organization subpart
Yes
Parent organization
WATERFORD SKILLED NURSING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Israel Feldheim
Title
Manager
Phone
(330) 499-8341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

220 Applegrove St NE
North Canton, OH 44720-1610

Mailing address

20 N County Line Rd Ste 300
Jackson, NJ 08527-0150

National Provider Directory

National Provider Directory
Tax ID family
Waterford Skilled Nursing 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.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1932026051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N COUNTY LINE RD STE 300",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085270150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 APPLEGROVE ST NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201610",
            "telephone_number": "330-499-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD SKILLED NURSING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WATERFORD SKILLED NURSING LLC",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "FELDHEIM",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-499-8341"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 30, 2026; 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.