NORTHEAST DEVELOPMENTAL SERVICES, INCORPORATED (NPI# 1558977363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558977363 |
Entity Type | Organization |
Organization Name | NORTHEAST DEVELOPMENTAL SERVICES, INCORPORATED |
Practice Address |
7790 Market Ave N Canton OH 44721-1641 |
Practice Telephone | 3304956374 |
Mailing Telephone | 3304956374 |
Enumeration Date | 2020-09-17 |
Last Update Date | 2020-09-17 |
Authorized Official Name | MR. LARRY POWELL (PRESIDENT) |
Authorized Official Telephone | 3304956374 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
N | 253Z00000X | In Home Supportive Care | Agencies | ||
N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
N | 347C00000X | Private Vehicle | Transportation Services | ||
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
7790 MARKET AVE N |
City | CANTON |
State | OH |
Zip Code | 44721-1641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801353206 | Jeffrey W Glynn | Dentist | North Canton - Glynn Family Dental, 129 Easton St Ne, North Canton, OH 44721 | 2019-02-22 |
1346765807 | Arica Goffus | Registered Nurse | 7684 Lynx Ave Ne, Canton, OH 44721 | 2017-08-06 |
1124478060 | Jillian Foltz | Occupational Therapy Assistant | 7119 Rolling Ridge Road, Canton, OH 44721 | 2016-06-21 |
1427379288 | Whats Up Doc Inc | Non-emergency Medical Transport (VAN) | 6255 Middlebranch Rd. N.e, North Canton, OH 44721 | 2010-06-16 |
1558785113 | Axis Health Chiropractic Center, Inc. | Chiropractor | 6535 Market Ave N, Suite 201, North Canton, OH 44721 | 2014-02-18 |
1326189853 | Alan Kenneth Goldberg | Dentist | 129 Easton St Ne, N Canton, OH 44721 | 2007-02-09 |
1235371451 | Scenic View Transportation, Inc | Ambulance | 2258 Nimishillen Church Rd., Canton, OH 44721-1026 | 2009-04-02 |
1649663642 | Brenda Brumbaugh | Speech-Language Pathologist | 1951 Lovers Ln Ne, N Canton, OH 44721-1420 | 2015-03-15 |
1780871616 | Amber Lynn Smith | Art Therapist | 2414 Mount Pleasant St Ne, Canton, OH 44721-1454 | 2007-09-25 |
1366841736 | Rita Hissner | Licensed Practical Nurse | 3915 State St Ne, Canton, OH 44721-1527 | 2014-08-21 |
Find all providers in zip 44721 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
1467900738 | Andrews Center - Elliott St | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1738 Elliot Dr, Canton, TX 75103-2604 | 2016-09-15 |
1649625377 | Cubbull, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 121 W Elm St, Box 478, Canton, IL 61520-2513 | 2016-05-02 |
1689046856 | Community Spirit Homes Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5860 N Canton Center Rd Ste 320, Canton, MI 48187-2687 | 2015-10-27 |
1477807501 | Martha Lloyd School, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75 Cedar Ridge Drive, Canton, PA 17724-1407 | 2012-10-26 |
1023364809 | Battle Services LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2912 Vienna Woods Ave Sw, Canton, OH 44706-5627 | 2012-07-30 |
1417187444 | Martha Lloyd - Center Street | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rr 2 Box 3272, Canton, PA 17724-8650 | 2009-07-24 |
1194184770 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 312 E 2nd St, Canton, PA 17724-1930 | 2016-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366043341 | Denise Szabados | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 802 Valley Dr, Amherst, OH 44001-2041 | 2020-11-05 |
1093316374 | Collene Marie Hill | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 06605 Cr 8, Bryan, OH 43506-4350 | 2020-11-04 |
1467052050 | Kathryn Mooers Howitt | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 374 Woodlawn Reserve Rd, Akron, OH 44305-3959 | 2020-11-01 |
1679173629 | The Resource Empowerment Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3895 S Main St, Akron, OH 44319-3630 | 2020-10-29 |
1104426667 | Highest Expectations LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 W South St, Lebanon, OH 45036-2127 | 2020-10-26 |
1982203964 | Family Care Supportive Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5012 Saint Aubin Dr, Toledo, OH 43615-5913 | 2020-10-21 |
1699374082 | Pamela Wilkes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 Washburn Rd, Tallmadge, OH 44278-2612 | 2020-10-18 |
1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
1558969477 | Caryl Westgerdes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3064 Eagle Cove Dr, Ripley, OH 45167-9683 | 2020-10-13 |
1972101210 | Nakia Sullins | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6033 Bear Creek Dr Apt 210, Bedford Heights, OH 44146-2907 | 2020-10-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.