The Laurels Of Massillon
LBN: Fairport Enterprises, Inc.
The Laurels Of Massillon is an health care organization with primary practice located at 2000 Sherman Cir Ne , Massillon OH 44646-5219. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Fairport Enterprises, Inc. can be contacted via phone (330) 830-9988, or through Khan, Anis via phone (614) 794-8800.
Contact Information
Primary practice address
2000 Sherman Cir Ne
Massillon OH 44646-5219
Phone: (330) 830-9988
Fax: (330) 830-0039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 2082N | Ohio |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 2082N | Ohio |
Profile Details
| NPI number | 1497701445 |
|---|---|
| LBN Legal business name | Fairport Enterprises, Inc. |
| DBA Doing business as | The Laurels Of Massillon |
| Authorized official | Khan, Anis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jun 17th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497701445 | NPPES |
| Ohio | MEDICAID | 0283787 |
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