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NPI Record: ActiveCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
NPI1174451058
Canton, Ohio

Provider's NPPES record last updated: May 12, 2026

Overview

Entity Type
Organization
NPI
1174451058
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice Location
Canton, Ohio
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 12:54 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

    Residential Treatment Facilities

    Primary

    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

    Taxonomy code 320900000X
  • Non-emergency Medical Transport (VAN)

    Transportation Services

    A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

    Taxonomy code 343900000X
  • Respite Care

    Respite Care Facility

    Definition to come.

    Taxonomy code 385H00000X
  • Respite Care

    Respite Care, Intellectual and/or Developmental Disabilities, Child

    Respite Care Facility

    A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

    Taxonomy code 385HR2060X

Practice Locations

Practice Location

1624 Plain Ave Ne

Canton, Ohio 44714-2346

Phone: (330) 224-7560

Record Information

Enumeration Date
May 12, 2026
Provider's NPPES Record Last Updated
May 12, 2026
Certification Date
May 12, 2026
NPISignal NPPES Dataset
August 2026

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