Healthcare Provider Details

I. General information

NPI: 1770587446
Provider Name (Legal Business Name): CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 W CEDAR ST
AKRON OH
44307-2400
US

IV. Provider business mailing address

CHILDREN'S HOME CARE GROUP ONE PERKINS SQUARE
AKRON OH
44308-1062
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-5000
  • Fax: 330-543-3084
Mailing address:
  • Phone: 330-543-5000
  • Fax: 330-543-3084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: ALICIA LAMANCUSA
Title or Position: INTERIM CFO AND TREASURER
Credential:
Phone: 330-543-8171