Larry McKinstry Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7600760 Issued in OH

Legal business name

LARRY MCKINSTRY SERVICES LLC

Doing business as

mrdd service provider fpr mrdd clients

Practice address

329 Arlington Ave NW # 44708
1205 32ND Street NE (Group Home) 44714
Canton, OH 44708-4703

Phone

(330) 575-1861

Fax

(330) 452-1296

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Larry L. McKinstry, BA, QMRP

Title

Owner, Administrator

Phone

(330) 575-1861

Specialties & licenses 1

Addresses

Other names 1

• mrdd service provider fpr mrdd clients Doing business as

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1962619379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 ARLINGTON AVE NW # 44708",
            "address_2": "1205 32ND STREET NE (GROUP HOME) 44714",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084703",
            "telephone_number": "330-575-1861",
            "fax_number": "330-452-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 ARLINGTON AVE NW # 44708",
            "address_2": "1205 32ND STREET NE (GROUP HOME) 44714",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084703",
            "telephone_number": "330-575-1861",
            "fax_number": "330-452-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY MCKINSTRY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MCKINSTRY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "330-575-1861",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA, QMRP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "7600760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mrdd service provider fpr mrdd clients",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle M Lantz, CDCA, PRS
• Jeffrey Lanzer
• Kaci N Lapp, PC
• Jacob Lark, DPT
• Brandi Larney
• Alexandra Renee Larson, PT
• Bria Larsuel
• Mackrea G Larue, LISW-S
• Christopher Larussa, DO
• Theresa Lash, E.1901131-SUPV

• Home Health Agency in Canton, OH
• Providers in Canton, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.