Healthcare Provider Details

I. General information

NPI: 1326952102
Provider Name (Legal Business Name): HOMETIME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4035 CINWOOD ST NW
MASSILLON OH
44646-5114
US

IV. Provider business mailing address

4035 CINWOOD ST NW
MASSILLON OH
44646-5114
US

V. Phone/Fax

Practice location:
  • Phone: 740-792-1264
  • Fax:
Mailing address:
  • Phone: 740-792-1264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code133VN1301X
TaxonomyOncology Nutrition Registered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name: LIANE PARKER
Title or Position: CEO
Credential: RN CPHM
Phone: 740-792-1264