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LIFELINE PARTNERS OF CANTON INC NPI 1073660825


NPI Information

NPI: 1073660825
Provider Name: LIFELINE PARTNERS OF CANTON, INC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
6520 WHIPPLE AVE NW
NORTH CANTON, OH
ZIP 44720
Phone: (330) 494-7297
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LIFELINE PARTNERS OF CANTON, INC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in North Canton, OH. LIFELINE PARTNERS OF CANTON, INC NPI is 1073660825. The provider is registered as an organization entity type.

The provider's business location address is:

6520 WHIPPLE AVE NW
NORTH CANTON, OH
ZIP 44720-340
Phone: (330) 494-7297
Fax: (330) 494-7365

The provider's authorized official is Kathleen Burgdorf .
The authorized official title is President and has the following contact phone number (330) 759-9233.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 10/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1364518MEDICARE OSCAR/CERTIFICATIONOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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