Healthcare Provider Details

I. General information

NPI: 1730049057
Provider Name (Legal Business Name): BETHANY HEALTH & REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 34TH ST NW
CANTON OH
44709-2943
US

IV. Provider business mailing address

626 34TH ST NW
CANTON OH
44709-2943
US

V. Phone/Fax

Practice location:
  • Phone: 330-492-7171
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN DAVIES
Title or Position: REGIONAL DIRECTOR OF OPERATIONS
Credential:
Phone: 440-935-0256