Provider Demographics
NPI:1427207927
Name:HARTVILLE HOMES INC
Entity Type:Organization
Organization Name:HARTVILLE HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SLEUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-244-0050
Mailing Address - Street 1:7237A WHIPPLE AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7137
Mailing Address - Country:US
Mailing Address - Phone:330-244-0050
Mailing Address - Fax:
Practice Address - Street 1:305 E 5TH ST
Practice Address - Street 2:BOX 30
Practice Address - City:WEST LAFAYETTE
Practice Address - State:OH
Practice Address - Zip Code:43845-1411
Practice Address - Country:US
Practice Address - Phone:740-545-5328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16100233315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH36G511Medicare Oscar/Certification