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NPI 1417628314ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Massillon, OH
Intermediate Care Facility, Intellectual Disabilities in Massillon, Ohio, registered in NPPES in September 2021. The authorized official on file is Nancy Housman, Director Of Billing.
Overview
| NPI | 1417628314 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2021 |
| Last updated in NPPES | Sep 22, 2021 |
| Certified by provider | Sep 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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