Provider Demographics
NPI:1538316401
Name:COMMUNITY CAREGIVERS OF MAHONING COUNTY LLC
Entity Type:Organization
Organization Name:COMMUNITY CAREGIVERS OF MAHONING COUNTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-533-3427
Mailing Address - Street 1:888 BOARDMAN CANFIELD RD STE G
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4277
Mailing Address - Country:US
Mailing Address - Phone:330-533-3427
Mailing Address - Fax:330-533-3551
Practice Address - Street 1:888 BOARDMAN CANFIELD RD STE G
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4277
Practice Address - Country:US
Practice Address - Phone:330-533-3427
Practice Address - Fax:330-533-3551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health