Healthcare Provider Details
I. General information
NPI: 1952290744
Provider Name (Legal Business Name): ANCHORED IN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/28/2025
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2318 MARKET AVE N
CANTON OH
44714-1940
US
IV. Provider business mailing address
2318 MARKET AVE N
CANTON OH
44714-1940
US
V. Phone/Fax
- Phone: 330-933-8755
- Fax:
- Phone: 330-933-8755
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LILLY
ERIN
DAVENPORT
Title or Position: DOO
Credential:
Phone: 330-933-8833