Active NPI
Keeping Individuals Safe at Home, LLC
- Occupational Therapist
- Painesville, OH
National Provider Identifier
1053004788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- KEEPING INDIVIDUALS SAFE AT HOME, LLC
- Practice address
- 1690 Poplar LN
Painesville, OH 44077-6126 - Phone
- (440) 773-7647
- NPI assigned
- May 30, 2023
- Last updated
- May 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Donald Kish, OTR/L
- Title
- Managing Member/Owner
- Phone
- (440) 773-7647
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
1690 Poplar LN
Painesville, OH 44077-6126
Mailing address
6545 Market Ave N Ste 100
Canton, OH 44721-2430
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Canton, OH
- NPI 1740820703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685404800000",
"number": "1053004788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6545 MARKET AVE N STE 100",
"city": "CANTON",
"state": "OH",
"postal_code": "447212430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 POPLAR LN",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440776126",
"telephone_number": "440-773-7647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEEPING INDIVIDUALS SAFE AT HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A",
"authorized_official_last_name": "KISH",
"authorized_official_first_name": "KYLE",
"authorized_official_middle_name": "DONALD",
"authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
"authorized_official_telephone_number": "440-773-7647",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.