Northeast Professional Home, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NORTHEAST PROFESSIONAL HOME, INC.

Practice address

4580 Stephen Cir NW Ste 302
Canton, OH 44718-3646

Phone

(330) 966-2311

Fax

(330) 966-6893

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dale W Wells, MBA, CHCE

Title

Administrator

Phone

(330) 966-2311

Specialties & licenses 1

Addresses

Other names 1

• Northeast Professional Caregivers Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanae Onika Young, PT

  • Physical Therapist
  • Canton, OH
  • NPI 1528651791
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1972594802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 STEPHEN CIR NW STE 302",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183646",
            "telephone_number": "330-966-2311",
            "fax_number": "330-966-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 STEPHEN CIR NW STE 302",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183646",
            "telephone_number": "330-966-2311",
            "fax_number": "330-966-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PROFESSIONAL HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-966-2311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, CHCE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Professional Caregivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northeast Ohio Endocrinology
• Northeast Ohio Eye Surgeons Inc
• Northeast Ohio Foot and Ankle Specialists LLC
• Northeast Ohio Therapy Associates, LLC
• Northeast Professional Home Care, Inc.
• Delecia Michelle Norwood
• Not Forsaken
• Alicen Notarianni, CT
• Arnold F Nothnagel, DO
• Ines Nouafo, CT

• 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 Jun 3, 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.