Healthcare Provider Details

I. General information

NPI: 1851881825
Provider Name (Legal Business Name): HOUSE OF LORETO FOR SENIOR CITIZENS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2018
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2812 HARVARD AVE NW
CANTON OH
44709-3155
US

IV. Provider business mailing address

2812 HARVARD AVE NW
CANTON OH
44709-3155
US

V. Phone/Fax

Practice location:
  • Phone: 330-453-8137
  • Fax: 330-453-8140
Mailing address:
  • Phone: 330-453-8137
  • Fax: 330-453-8140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number85
License Number StateOH

VIII. Authorized Official

Name: SISTER JANET HAROLD
Title or Position: NURSING HOME ADMINISTRATOR
Credential:
Phone: 330-453-8137