Organization Active NPI

Compassionate Innovations LLC

  • In Home Supportive Care Agency
  • Massillon, OH
National Provider Identifier
1104429737
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMPASSIONATE INNOVATIONS LLC
Practice address
3154 Lincoln Way NW
Massillon, OH 44647-5207
Phone
(330) 844-2814
Fax
(330) 880-0333
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly L Zink
Title
Owner
Phone
(330) 844-2814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3154 Lincoln Way NW
Massillon, OH 44647-5207

Mailing address

147 21St St NW
Canton, OH 44709-3907
Phone (330) 844-2814

Other identifiers 1

IdentifierTypeStateIssuer
0109654MedicaidOH

National Provider Directory

National Provider Directory

Locations

3154 Lincoln Way NW
Massillon, OH 44647
Phone (330) 844-2814

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1104429737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 21ST ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093907",
            "telephone_number": "330-844-2814",
            "fax_number": "330-880-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 LINCOLN WAY NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446475207",
            "telephone_number": "330-844-2814",
            "fax_number": "330-880-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "ZINK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-844-2814"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109654",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.