MEDICARE: PICKETT CARE PARTNER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1578418943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PICKETT CARE PARTNER LLC

Provider Business Mailing Address
First Line	:	1261 PICKETT ST NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-6061
Country	:	US
Telephone Number	:	330-806-2416
Fax Number	:

Provider Business Practice Location Address
First Line	:	1261 PICKETT ST NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-6061
Country	:	US
Telephone Number	:	330-806-2416
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ADAM PAUL REOLFI
Credential	:	MACC
Telephone Number	:	330-806-2416

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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