OrganizationActive
Provider Services LLC
NPI 1407363849 · Nursing Facility/Intermediate Care Facility · Canton, OH
Provider details
- NPI number
- 1407363849
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Coss, Owner(330) 605-4541
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3071 Dunbarton Ave Nw
Canton, OH 44708-1818
Phone: (330) 605-4541
Street-level locationGet directions
Mailing address
3071 Dunbarton Ave Nw
Canton, OH 44708-1818
Registry dates
- Enumerated
- 2018-01-08
- Last updated
- 2018-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.