AULTMAN HOME MEDICAL
NPI 1568852606
Durable Medical Equipment & Medical Supplies in Canton, OH

NPI Status: Active since January 28, 2015

Contact Information

5220 TUSCARAWAS ST W
CANTON, OH
ZIP 44708
Phone: (330) 478-9623

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 36D0700989
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-05-2027

About AULTMAN HOME MEDICAL

This page provides the complete NPI Profile along with additional information for Aultman Home Medical, a provider established in Canton, Ohio operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1568852606 assigned on January 2015. The practitioner's primary taxonomy code is 332B00000X with license number 1255373858 (OH). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Cindy Marvin (Director)

NPI
1568852606
Provider Name
AULTMAN HOME MEDICAL
Entity Type
Organization
Location Address
5220 TUSCARAWAS ST W CANTON, OH 44708
Location Phone
(330) 478-9623
Mailing Address
5220 TUSCARAWAS ST W CANTON, OH 44708
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2015
Last Update Date
01-28-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
1255373858
License State
OH
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CINDY MARVIN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(330) 478-9623

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0700989
Facility Type
Physician Office
Certificate Effective Date
April 06, 2025
Certificate Expiration Date
April 05, 2027
Laboratory Director
JEFFREY S. CERONE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Aultman Home Medical in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568852606
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128165460
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 6 + 5 + 4 + 6 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1568852606 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568852606, enumerated in the NPI registry as an "organization" on January 28, 2015

The provider is located at 5220 Tuscarawas St W Canton, Oh 44708 and the phone number is (330) 478-9623

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider's CLIA number is 36D0700989 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on January 28, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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