PROVIDING EXCELLENT ADULT KARE INC (NPI# 1366712465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366712465 |
Entity Type | Organization |
Organization Name | PROVIDING EXCELLENT ADULT KARE INC |
Other Organization Name | PEAK INC |
Practice Address |
2520 Wales Ave Nw Suite 222 Massillon OH 44646-2310 |
Practice Telephone | 3308337020 |
Practice Fax Number | 8669993588 |
Mailing Telephone | 3308337020 |
Mailing Fax Number | 8669993588 |
Enumeration Date | 2012-01-05 |
Last Update Date | 2012-01-05 |
Authorized Official Name | MR. GREGG ALLEN ELLIOTT (CFO/ OWNER) |
Authorized Official Telephone | 3308337020 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 253Z00000X | In Home Supportive Care | OH | Agencies | |
Y | 251E00000X | Home Health | OH | Agencies |
Other Name | Type Code |
---|---|
PEAK Inc | Doing Business As Name - Organization |
Street Address |
2520 WALES AVE NW SUITE 222 |
City | MASSILLON |
State | OH |
Zip Code | 44646-2310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902433667 | Joseph Michael Simone | Licensed Practical Nurse | 2520 Wales Ave Nw, Suite 100, Massillon, OH 44646 | 2020-03-24 |
1437628898 | Ruth Ann Delillo | Registered Nurse | 2520 Wales Ave Nw, Massillon, OH 44646-2398 | 2018-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
Find all providers in zip 44646 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255965125 | Maylow Care Services LLC | Home Health | 11964 Bonnie Brae Dr Sw, Massillon, OH 44647-9788 | 2020-02-28 |
1629624747 | First Choice Home Care | Home Health | 2965 Wildridge Dr Nw, Massillon, OH 44646-2458 | 2019-08-14 |
1265098016 | In-home Caregivers, LLC | Home Health | 100 Lillian Gish Blvd Sw Ste 203, Massillon, OH 44647-6500 | 2019-05-17 |
1508335571 | Barbara Jones | Home Health | 612 Young St Se, Massillon, OH 44646-8251 | 2018-11-19 |
1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
1992239842 | Kristine Knetzer | Home Health | 107 Tommy Henrich Dr Nw, Massillon, OH 44647-5402 | 2017-04-18 |
1285178640 | Carrie Wiesen | Home Health | 214 Locke Ave Sw, Massillon, OH 44646-3438 | 2016-12-05 |
1073063293 | Daphne Mellott | Home Health | 561 25th St Nw, Massillon, OH 44647-5139 | 2016-10-12 |
1073917886 | Benjamin Woodruff | Home Health | 1731 Tremont Ave, Massillon, OH 44647 | 2014-10-22 |
1174948970 | Suite Home, LLC | Home Health | 8006 Chablis Dr Nw, Massillon, OH 44646-1917 | 2014-03-03 |
Find all providers in MASSILLON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.