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CANTON 4550 OPCO LLC
NPI 1851146708
Assisted Living Facility in Canton, OH

Active since April 23, 2024CLIA 36D2145163 · Waiver
4550 HILLS AND DALES RD NW, CANTON, OH 44708(330) 477-5727 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2025, Apr 23, 2024 (2 updates tracked since 2024).

About Canton 4550 Opco Llc NPPES

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

CANTON 4550 OPCO LLC (NPI 1851146708), doing business as Aviva Hills, is a healthcare organization registered as an assisted living facility in Canton, Ohio and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Stacey Hess, Controller, as its authorized official.

NPPES Registry Identity

NPI1851146708
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCANTON 4550 OPCO LLC
Location Address4550 HILLS AND DALES RD NWCanton, OH 44708-1508
Mailing Address4550 Hills And Dales Rd NwCanton, OH 44708-1508 · (260) 740-3220 · Fax (260) 498-2059
Phone(330) 477-5727
Organization SubpartNo
Authorized OfficialStacey HessController · (904) 534-9077
Enumeration DateApril 23, 2024
Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1851146708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4550 HILLS AND DALES RD NW, Canton, OH 44708
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Other Names 1

Doing Business AsAviva Hills

CLIA Laboratory Certificates CMS CLIA

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 36D2145163

Canton 4550 Opco, LLC Dba Aviva Hills · Canton, OH
Active · expires Mar 1, 2028
CLIA Number36D2145163
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorChanin Mcelroy
Laboratory Phone(330) 477-5727
Laboratory LocationCanton 4550 Opco, LLC Dba Aviva Hills4550 Hills And Dales Rd 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.

Other Providers at the Same Location NPPES 4

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

ASHLEY RAE FLEISHMAN
Occupational Therapist
4550 HILLS AND DALES RD NW
CANTON, OH 44708
Stark County (330) 477-5727
SIERRA JENNINGS
Occupational Therapist
4550 HILLS AND DALES RD NW
CANTON, OH 44708
Stark County (330) 477-5727
WEGMAN FAMILY (CANTON) LLC VI
Assisted Living Facility
4550 HILLS AND DALES RD NW
CANTON, OH 44708
Stark County (330) 477-5727
JUSTIN TOD VANOVER
Physical Therapist
4550 HILLS AND DALES RD NW
CANTON, OH 44708
Stark County (844) 502-7996

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 4550 Opco LLC's NPI number?

The NPI number for Canton 4550 Opco LLC is 1851146708. It was assigned to this organization in the NPPES registry on April 23, 2024. The provider is doing business as Aviva Hills.

Where is Canton 4550 Opco LLC located?

Canton 4550 Opco LLC is located at 4550 Hills And Dales Rd NW, Canton, OH 44708. The listed phone number is (330) 477-5727.

What is Canton 4550 Opco LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Canton 4550 Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2145163) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Canton 4550 Opco LLC was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.