Provider Demographics
NPI:1942533260
Name:PIGEON RUN, LLC
Entity Type:Organization
Organization Name:PIGEON RUN, LLC
Other - Org Name:COMPASSCARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:COLERIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-704-1770
Mailing Address - Street 1:3750 PIGEON RUN RD SW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-9756
Mailing Address - Country:US
Mailing Address - Phone:330-704-1770
Mailing Address - Fax:330-762-1862
Practice Address - Street 1:721 HICKORY ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-2213
Practice Address - Country:US
Practice Address - Phone:330-762-6486
Practice Address - Fax:330-762-1862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health