Canton Regency

LBN: Capital Senior Living, Ilm-B Inc.
Canton Regency is an health care organization with primary practice located at 4515 22Nd St Nw , Canton OH 44708-1573. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Capital Senior Living, Ilm-B Inc. can be contacted via phone (330) 477-7664, or through Gasper, Kristen Joy via phone (330) 477-7664.

Contact Information

Primary practice address
4515 22Nd St Nw Canton OH 44708-1573
Phone: (330) 477-7664
Fax: (330) 478-9645
Website:
Map and Directions
Authorized official contact:
Name: Gasper, Kristen Joy
Phone: (330) 477-7664

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 5977 Ohio

Profile Details

NPI number 1689771826
LBN Legal business name Capital Senior Living, Ilm-B Inc.
DBA Doing business as Canton Regency
Authorized official Gasper, Kristen Joy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 20th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689771826 NPPES
Ohio Other 000000280669 ANTHEM PROVIDER NUMBER
Ohio Other 0005319462 ANTHEM PROVIDER NUMBER

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