Kaleidoscope Project,Inc.
Organization Active NPI Homemaker · Masury, OH
NPI 1053914531 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1053914531
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Homemaker 376J00000X
- Legal business name
- KALEIDOSCOPE PROJECT,INC.
- Practice address
- 832 N Stateline Rd
Masury, OH 44438-1640 - Phone
- (330) 969-1098
- NPI assigned
- Nov 18, 2020
- Organization subpart
- No
Authorized official
- Name
- Richard A Simmons
- Title
- Ceo
- Phone
- (330) 518-2652
National Provider Directory
Locations
832 N Stateline Rd
Masury, OH 44438
Phone (330) 969-1098
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | |||
| Personal Care Attendant |
3747P1801X | |||
| Homemaker |
376J00000X | Yes |
Addresses
Primary practice location
832 N Stateline Rd
Masury, OH 44438-1640
Mailing address
6610 Pheasant Run Dr
Canfield, OH 44406-8742
Phone (330) 702-1822
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2657754 | Medicaid | OH |
Other providers in Masury, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.