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PROVIDER SERVICES LLC
NPI 1407363849
Nursing Facility/Intermediate Care Facility in Canton, OH

Active since January 08, 2018
3071 DUNBARTON AVE NW, CANTON, OH 44708(330) 605-4541 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Provider Services Llc NPPES

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

PROVIDER SERVICES LLC (NPI 1407363849) is a healthcare organization registered as a nursing facility/intermediate care facility in Canton, Ohio and active in the NPI registry since January 2018. The organization lists Susan B Coss, Owner, as its authorized official.

NPPES Registry Identity

NPI1407363849
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NamePROVIDER SERVICES LLC
Location Address3071 DUNBARTON AVE NWCanton, OH 44708-1818
Mailing Address3071 Dunbarton Ave NwCanton, OH 44708-1818 · (330) 605-4541
Phone(330) 605-4541
Organization SubpartNo
Authorized OfficialSusan B CossOwner · (330) 605-4541
Enumeration DateJanuary 8, 2018
✔ NPI 1407363849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
3071 DUNBARTON AVE NW, Canton, OH 44708
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Provider Services LLC's NPI number?

The NPI number for Provider Services LLC is 1407363849. It was assigned to this organization in the NPPES registry on January 8, 2018.

Where is Provider Services LLC located?

Provider Services LLC is located at 3071 Dunbarton Ave NW, Canton, OH 44708. The listed phone number is (330) 605-4541.

What is Provider Services LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

What insurance does Provider Services LLC accept?

Health plans from CareSource list Provider Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Provider Services LLC was last updated on January 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.