Healthcare Provider Details

I. General information

NPI: 1831097922
Provider Name (Legal Business Name): COMMUNITY CAREGIVERS OF MAHONING COUNTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2026
Last Update Date: 10/28/2026
Certification Date: 10/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 BOARDMAN CANFIELD RD STE J2
BOARDMAN OH
44512-4358
US

IV. Provider business mailing address

725 BOARDMAN CANFIELD RD STE J2
BOARDMAN OH
44512-4358
US

V. Phone/Fax

Practice location:
  • Phone: 330-533-3427
  • Fax: 330-533-3551
Mailing address:
  • Phone: 330-533-3427
  • Fax: 330-533-3551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: JOSH SCOTT
Title or Position: ADMINISTRATOR
Credential:
Phone: 330-533-3427