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CHANCELOR BUSH
NPI 1063399020
Home Health Aide in Massillon, OH

Active since August 20, 2025
108 3RD ST NE, MASSILLON, OH 44646(330) 224-4823(614) 468-1246 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chancelor Bush NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANCELOR BUSH (NPI 1063399020) is an individual home health aide in Massillon, Ohio, licensed in Ohio (7611206) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1063399020
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameCHANCELOR BUSH
Location Address108 3RD ST NEMassillon, OH 44646-5605
Mailing Address1720 Frederick Ave SwCanton, OH 44706-5314 · (330) 224-4823 · Fax (330) 224-4823
Phone(330) 224-4823
Fax(614) 468-1246
Sole ProprietorYes
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1063399020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in OH · 7611206
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
108 3RD ST NE, Massillon, OH 44646
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Other Identifiers 1

Medicaid853687387OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chancelor Bush's NPI number?

The NPI number for Chancelor Bush is 1063399020. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Chancelor Bush located?

Chancelor Bush practices at 108 3rd St NE, Massillon, OH 44646. The listed phone number is (330) 224-4823.

What is Chancelor Bush's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Chancelor Bush was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.