COMMUNITY INTEGRATION SUPPORTS NPI 1053197798

NPI Information

  • NPI: 1053197798
  • Provider Name: COMMUNITY INTEGRATION SUPPORTS
  • Classification: Homemaker - 376J00000X
  • Entity Type: Organization
  • Address: 635 CARSON SALT SPRINGS RD
    MINERAL RIDGE, OH
    ZIP 44440
  • Phone: (330) 503-2224

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NPI Details

COMMUNITY INTEGRATION SUPPORTS is a homemaker in Mineral Ridge, OH. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. COMMUNITY INTEGRATION SUPPORTS NPI is 1053197798. The provider is registered as an organization entity type.

The provider's business location address is:

635 CARSON SALT SPRINGS RD
MINERAL RIDGE, OH
ZIP 44440-334
Phone: (330) 503-2224

The provider's authorized official is Randall Allan Burns .
The authorized official title is Ao and has the following contact phone number (330) 503-2224.

The enumeration date for this NPI number is 9/7/2023 and was last updated on 9/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251X00000XSupports BrokerageNo
2343900000XNon-emergency Medical Transport (VAN)No
3385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
4376J00000XHomemakerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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