J. R. COLEMAN SENIOR OUTREACH SERVICES INC. NPI 1477962975

NPI Information

NPI: 1477962975
Provider Name: J. R. COLEMAN SENIOR OUTREACH SERVICES, INC.

Other Name: JRC ADULT DAY CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
3300 PARKWAY ST NW
CANTON, OH
ZIP 44708
Phone: (330) 454-3471
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J. R. COLEMAN SENIOR OUTREACH SERVICES, INC. is an adult day care clinic center in Canton, OH. J. R. COLEMAN SENIOR OUTREACH SERVICES, INC. NPI is 1477962975. The provider is registered as an organization entity type.
The provider Other Name Is Jrc Adult Day Center.

The provider's business location address is:

3300 PARKWAY ST NW
CANTON, OH
ZIP 44708-832
Phone: (330) 454-3471
Fax: (330) 454-6371

The provider's authorized official is Tom Thompson .
The authorized official title is Executive Director and has the following contact phone number (330) 455-3873.

The enumeration date for this NPI number is 8/8/2014 and was last updated on 10/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0809227	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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