Hall Of Fame Residential Services

LBN: Hall Of Fame Residential Services
Hall Of Fame Residential Services is an health care organization with primary practice located at 6691 Freedom Ave Nw , Canton OH 44720-7301. The organization recently has only one registered license in Agencies / Nursing Care, which is considered as the primary health care specialty. Hall Of Fame Residential Services can be contacted via phone (234) 714-9320, or through Webster, Melissa Ann via phone (234) 714-9320.

Contact Information

Primary practice address
6691 Freedom Ave Nw Canton OH 44720-7301
Phone: (234) 714-9320
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Webster, Melissa Ann Registered Nurse (RN)
Phone: (234) 714-9320

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X

Profile Details

NPI number 1932638038
LBN Legal business name Hall Of Fame Residential Services
DBA Doing business as
Authorized official Webster, Melissa Ann Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2017
Last updated Jul 21st, 2022 - about 2 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 1932638038 NPPES
Ohio MEDICAID 3067345

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