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LIBERTY HOUSE
NPI 1104643246
Assisted Living Facility - Assisted Living, Mental Illness in Canton, OH

Active since September 20, 2024
1804 5TH ST SE, CANTON, OH 44707(330) 937-2316 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty House NPPES

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

LIBERTY HOUSE (NPI 1104643246) is a healthcare organization registered as an assisted living, mental illness in Canton, Ohio and active in the NPI registry since September 2024. The organization lists Ramah R Sistrunk, Operator, as its authorized official.

NPPES Registry Identity

NPI1104643246
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameLIBERTY HOUSE
Location Address1804 5TH ST SECanton, OH 44707-3008
Mailing Address1387 Garman RdAkron, OH 44313-6454 · (330) 937-2316
Phone(330) 937-2316
Organization SubpartNo
Authorized OfficialRamah R SistrunkOperator · (330) 937-2316
Enumeration DateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
✔ NPI 1104643246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
1804 5TH ST SE, Canton, OH 44707
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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 Liberty House's NPI number?

The NPI number for Liberty House is 1104643246. It was assigned to this organization in the NPPES registry on September 20, 2024.

Where is Liberty House located?

Liberty House is located at 1804 5th St SE, Canton, OH 44707. The listed phone number is (330) 937-2316.

What is Liberty House's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Liberty House was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.