Organization Active NPI

Providing Excellent Adult Kare Inc

  • Home Health Agency
  • Massillon, OH
National Provider Identifier
1366712465
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 5, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.