Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CANTON SNF OPCO LLC
NPI 1205761079
Skilled Nursing Facility in Canton, OH

Active since June 15, 2026
2714 13TH ST NW, CANTON, OH 44708(330) 456-2842 Get Directions Write a Review

NPPES record added: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canton Snf Opco Llc NPPES

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

CANTON SNF OPCO LLC (NPI 1205761079), doing business as Hall Of Fame Health Care Center, is a healthcare organization registered as a skilled nursing facility in Canton, Ohio and active in the NPI registry since June 2026. The organization lists Nicholas Destefane, President, as its authorized official.

NPPES Registry Identity

NPI1205761079
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCANTON SNF OPCO LLC
Location Address2714 13TH ST NWCanton, OH 44708-3121
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122
Organization SubpartNo
Authorized OfficialNicholas DestefanePresident · (314) 543-3800
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
NPI 1205761079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2714 13TH ST NW, Canton, OH 44708

Other Names 1

Doing Business AsHall Of Fame Health Care Center

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2714 13TH ST NW
CANTON, OH 44708
Physical Therapist (Geriatrics)
2714 13TH ST NW
CANTON, OH 44708
Occupational Therapy Assistant
2714 13TH ST NW
CANTON, OH 44708
Physical Therapy Assistant
2714 13TH ST NW
CANTON, OH 44708
Occupational Therapy Assistant
2714 13TH ST NW
CANTON, OH 44708
Skilled Nursing Facility
2714 13TH ST NW
CANTON, OH 44708
Occupational Therapy Assistant
2714 13TH ST NW
CANTON, OH 44708
Speech-Language Pathologist
2714 13TH ST NW
CANTON, OH 44708

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 Canton Snf Opco LLC's NPI number?

The NPI number for Canton Snf Opco LLC is 1205761079. It was assigned to this organization in the NPPES registry on June 15, 2026. The provider is doing business as Hall of Fame Health Care Center.

Where is Canton Snf Opco LLC located?

Canton Snf Opco LLC is located at 2714 13th St NW, Canton, OH 44708. The listed phone number is (330) 456-2842.

What is Canton Snf Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Canton Snf Opco LLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.