COMMUNITY INTEGRATION SUPPORTS — NPI 1053197798 (Licensed & Credentialed Homemaker in VIENNA, OH)

CMS-1500 Box 24J / 33a • NPI

1053197798

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

376J00000X

Licensed & Credentialed Homemaker

Box 32 Service Location & ZIP+4

1372 YOUNGSTOWN KINGSVILLE RD SE, VIENNA, OH, 44473-9650

✓ 9-Digit EDI 837 ZIP+4 (44473-9650)

Practice Phone & Referral Fax

(330) 503-2224

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053197798 (COMMUNITY INTEGRATION SUPPORTS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053197798` (NPI-2 Organization / Facility)
Provider / Legal Name	COMMUNITY INTEGRATION SUPPORTS
Plain-English Specialty	Licensed & Credentialed Homemaker NUCC Code: `376J00000X` (Homemaker)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1372 YOUNGSTOWN KINGSVILLE RD SE, VIENNA, OH, 44473-9650
Practice Telephone / Fax	Tel: (330) 503-2224
Administrative Mailing Address	1372 YOUNGSTOWN KINGSVILLE RD SE, VIENNA, OH, 44473-9650
Enumeration & Last Sync	Enumerated: 2023-09-07 \| CMS Record Updated: 2026-11-04
Authorized Official	RANDALL BURNS (AO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1372 YOUNGSTOWN KINGSVILLE RD SE, VIENNA, OH, 44473-9650

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Plain-English Taxonomy & CMS Crosswalk (376J00000X)

What Does Taxonomy Code 376J00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 376J00000X translates to:
"Licensed & Credentialed Homemaker"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Homemaker for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COMMUNITY INTEGRATION SUPPORTS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251X00000X` — Supports Brokerage Plain English: Licensed & Credentialed Supports Brokerage	State: N/A \| License: `Verified` \| Primary: Secondary
`343900000X` — Non-emergency Medical Transport (VAN) Plain English: Licensed & Credentialed Non-emergency Medical Transport (VAN)	State: N/A \| License: `Verified` \| Primary: Secondary
`376J00000X` — Homemaker Plain English: Licensed & Credentialed Homemaker	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`385HR2060X` — Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Plain English: Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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COMMUNITY INTEGRATION SUPPORTS (NPI #1053197798)