MIDWEST HEALTH SERVICES, INC. – Community/Behavioral Health Agency, NPI 1629761408

MIDWEST HEALTH SERVICES, INC. is a healthcare provider. based in Massillon, Ohio. specializing in Community/Behavioral Health Agency. The NPI Number for MIDWEST HEALTH SERVICES, INC. is 1629761408

Main info

Organization
Name
MIDWEST HEALTH SERVICES, INC.
NPI
1629761408
Phone
(330) 353-5715
Address
107 TOMMY HENRICH DR NW
Authorized Official
JORDAN KNETZER PRESIDENT
Enumeration Date
30 May 2023
Last Update Date
30 May 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for MIDWEST HEALTH SERVICES, INC.

  • 107 TOMMY HENRICH DR NW

    MASSILLON, OH 446475402

    Phone: (330) 353-5715

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20240328002802OOtherOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44647)

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Reviews

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Frequently asked questions

How do I look up MIDWEST HEALTH SERVICES, INC. by NPI?
Use NPI 1629761408 when you need to reference MIDWEST HEALTH SERVICES, INC. in forms, claims, or directories.
Is MIDWEST HEALTH SERVICES, INC.'s NPI currently valid?
The extract we use shows MIDWEST HEALTH SERVICES, INC. as active.
What field does MIDWEST HEALTH SERVICES, INC. work in?
You can think of MIDWEST HEALTH SERVICES, INC. as practicing within Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
What location shows for MIDWEST HEALTH SERVICES, INC.?
We surface Massillon, Ohio for MIDWEST HEALTH SERVICES, INC. based on available NPPES addresses.
Is MIDWEST HEALTH SERVICES, INC. a real provider?
This page reflects official NPPES data for NPI 1629761408. Always confirm identity and privileges with the practice and licensing boards.

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