NPI Code Details Logo

NPI 1740091131

NPI 1740091131 : THE STRAIGHT PATH CHILD & FAMILY CENTER : CANTON, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1740091131
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THE STRAIGHT PATH CHILD & FAMILY CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/15/2025
-----------------------------------------------------
    Last Update Date     |    05/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    800 MARKET AVE N STE 340 
-----------------------------------------------------
    City                 |    CANTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44702-2317
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    330-353-7224
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    800 MARKET AVE N STE 450 
-----------------------------------------------------
    City                 |    CANTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44702-2312
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    330-353-7224
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MR. EDWIN C CLEVELAND 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    330-353-7224
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    385H00000X
-----------------------------------------------------
    Taxonomy Name        |    Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    385HR2060X
-----------------------------------------------------
    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.