# KALEIDOSCOPE PROJECT,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053914531
- **Authorized official:** RICHARD A SIMMONS (CEO)
- **Authorized official phone:** (330) 518-2652

## Contact information

- **Practice address:** 832 N STATELINE RD, MASURY, OH 44438-1640
- **Practice address phone:** (330) 969-1098
- **Mailing address:** 6610 PHEASANT RUN DR, CANFIELD, OH 44406-8742
- **Mailing address phone:** (330) 702-1822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | — | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | — | — |
| 347C00000X | Private Vehicle | — | — | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 376J00000X | Homemaker | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2020
- **Last updated:** 11/18/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2657754 | — | OH |