Active NPI
Merriman CCRC, Inc.
- Skilled Nursing Facility
- Akron, OH
National Provider Identifier
1962406231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0523N
- Legal business name
- MERRIMAN CCRC, INC.
- Doing business as
- The Merriman
- Practice address
- 209 Merriman Rd
Akron, OH 44303-1904 - Phone
- (330) 762-9341
- Fax
- (330) 762-0450
- NPI assigned
- Jun 2, 2005
- 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
- Joe Altieri
- Title
- President
- Phone
- (330) 936-7158
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 0523R | OH | |
| Skilled Nursing Facility | 314000000X | 0523N | OH | Primary |
Addresses
Primary practice location
209 Merriman Rd
Akron, OH 44303-1904
Mailing address
6967 Deer Trail Ave NE
Canton, OH 44721-2069
Phone (330) 936-7158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2617967 | Medicaid | OH |
Other names 1
- The Merriman
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525737600000",
"number": "1962406231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6967 DEER TRAIL AVE NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447212069",
"telephone_number": "330-936-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MERRIMAN RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443031904",
"telephone_number": "330-762-9341",
"fax_number": "330-762-0450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERRIMAN CCRC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-02",
"last_updated": "2018-05-08",
"status": "A",
"authorized_official_last_name": "ALTIERI",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-936-7158"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OH",
"license": "0523R",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "0523N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2617967",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Merriman",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Merriman",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.