INDIVIDUAL
NPI 1962958512
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Canton, OH

Q: What is Individual's NPI number?

The NPI number for Individual is 1962958512. It was assigned to this organization in the NPPES registry on September 1, 2016.

Q: What is Individual's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Individual was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 01, 2016

1111 GONDER AV SE, CANTON, OH 44707(330) 265-7902 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Individual NPPES

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

INDIVIDUAL (NPI 1962958512) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Canton, Ohio and active in the NPI registry since September 2016. The organization lists Tammie Lynn Mayle, Home Health Aid, as its authorized official.

NPPES Registry Identity

NPI1962958512

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameINDIVIDUAL

Location Address1111 GONDER AV SECanton, OH 44707

Mailing Address1111 Gonder Av SeCanton, OH 44707 · (330) 265-7902

Phone(330) 265-7902

Organization SubpartNo

Authorized OfficialTammie Lynn MayleHome Health Aid · (330) 265-7902

Enumeration DateSeptember 1, 2016

✔ NPI 1962958512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

1111 GONDER AV 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 Individual's NPI number?

The NPI number for Individual is 1962958512. It was assigned to this organization in the NPPES registry on September 1, 2016.

Where is Individual located?

Individual is located at 1111 Gonder Av SE, Canton, OH 44707. The listed phone number is (330) 265-7902.

What is Individual's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Individual was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.