Provider Demographics
NPI:1750362489
Name:CHILDS INVESTMENT CO
Entity type:Organization
Organization Name:CHILDS INVESTMENT CO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:330-837-2100
Mailing Address - Street 1:205 ROHR AVE NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-3671
Mailing Address - Country:US
Mailing Address - Phone:330-837-2100
Mailing Address - Fax:330-837-2454
Practice Address - Street 1:205 ROHR AVE NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-3671
Practice Address - Country:US
Practice Address - Phone:330-837-2100
Practice Address - Fax:330-837-2454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3102314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0226697Medicaid
OH0226697Medicaid
OH=========OtherFEDERAL TAX ID #
OH5114990001Medicare NSC