Active NPI
Providing Excellent Adult Kare Inc
- Home Health Agency
- Massillon, OH
National Provider Identifier
1366712465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PROVIDING EXCELLENT ADULT KARE INC
- Practice address
- 2520 Wales Ave NW
Suite 222
Massillon, OH 44646-2310 - Phone
- (330) 833-7020
- Fax
- (866) 999-3588
- NPI assigned
- Jan 5, 2012
- 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
- Mr. Gregg Allen Elliott
- Title
- Cfo/ Owner
- Phone
- (330) 833-7020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OH | Primary | |
| In Home Supportive Care Agency | 253Z00000X | OH |
Addresses
Primary practice location
2520 Wales Ave NW
Suite 222
Massillon, OH 44646-2310
Mailing address
2520 Wales Ave NW
Suite 222
Massillon, OH 44646-2310
Phone (330) 833-7020
Other names 1
- PEAK Inc
National Provider Directory
National Provider DirectoryLocations
2520 Wales Ave NW
Ste 222
Massillon, OH 44646
Phone (216) 830-9378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325721600000",
"number": "1366712465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 WALES AVE NW",
"address_2": "SUITE 222",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462310",
"telephone_number": "330-833-7020",
"fax_number": "866-999-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 WALES AVE NW",
"address_2": "SUITE 222",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462310",
"telephone_number": "330-833-7020",
"fax_number": "866-999-3588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDING EXCELLENT ADULT KARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-05",
"last_updated": "2012-01-05",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "GREGG",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CFO/ OWNER",
"authorized_official_telephone_number": "330-833-7020",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PEAK Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.