CANTON REGENCY
NPI 1689771826
Skilled Nursing Facility in Canton, OH

Active since September 20, 2006CLIA Certified · 2 labs
4515 22ND ST NW, CANTON, OH 44708(330) 477-7664(330) 478-9645 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Canton Regency NPPES

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

CANTON REGENCY (NPI 1689771826) is a healthcare organization registered as a skilled nursing facility in Canton, Ohio and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Kristen Joy Gasper, Accounting Director, as its authorized official.

NPPES Registry Identity

NPI1689771826
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCAPITAL SENIOR LIVING, ILM-B INC.
Location Address4515 22ND ST NWCanton, OH 44708-1573
Mailing Address4515 22nd St NwCanton, OH 44708-1573 · (330) 477-7664 · Fax (330) 478-9645
Fax(330) 478-9645
Organization SubpartNo
Authorized OfficialKristen Joy GasperAccounting Director · (330) 477-7664
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 20, 2012
NPI 1689771826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OH · 5977
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.

4515 22ND ST NW, Canton, OH 44708

Other Names 1

Doing Business AsCanton Regency

Other Identifiers 3

Medicare OSCAR/certification365710OH
Other000000280669OH · Anthem Provider Number
Other0005319462OH · Aetna Provider Number

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2199043

Canton Regency · Canton, OH
Active · expires Nov 4, 2026
CLIA Number36D2199043
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorJoseph A. Campanelli
Laboratory Phone(330) 477-7664
Laboratory LocationCanton Regency4515 22nd St NW, Canton, OH 44708
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2199038

Canton Regency Residential Care Facility · Canton, OH
Active · expires Nov 4, 2026
CLIA Number36D2199038
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorJoseph A. Campanelli
Laboratory Phone(330) 477-7664
Laboratory LocationCanton Regency Residential Care Facility4507 22nd St NW, Canton, OH 44708
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Physical Therapist
4515 22ND ST NW
CANTON, OH 44708
Speech-Language Pathologist
4515 22ND ST NW
CANTON, OH 44708
Occupational Therapy Assistant
4515 22ND ST NW
CANTON, OH 44708
Physical Therapist
4515 22ND ST NW
CANTON, OH 44708
Clinic/Center (Rehabilitation)
4515 22ND ST NW, C/O CANTON REGENCY
CANTON, OH 44708
Physical Therapist
4515 22ND 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 Capital Senior Living, Ilm-B Inc.'s NPI number?

The NPI number for Capital Senior Living, Ilm-B Inc. is 1689771826. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Canton Regency.

Where is Capital Senior Living, Ilm-B Inc. located?

Capital Senior Living, Ilm-B Inc. is located at 4515 22nd St NW, Canton, OH 44708. The listed phone number is (330) 477-7664.

What is Capital Senior Living, Ilm-B Inc.'s specialty?

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

Does Capital Senior Living, Ilm-B Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Capital Senior Living, Ilm-B Inc. was last updated on January 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.