Individual
NPI 1720537780ActiveOrganization· Preferred Provider Organization· Canton, OH
Preferred Provider Organization in Canton, Ohio, registered in NPPES in September 2016. The authorized official on file is Tammie Lynn Mayle, Home Health Aid.
Overview
| NPI | 1720537780 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2016 |
| Last updated in NPPES | Sep 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | OH |
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 |
|---|
Other Preferred Provider Organization providers in Canton
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