KALEIDOSCOPE PROJECT,INC. — NPI 1053914531 (Licensed & Credentialed Homemaker in MASURY, OH)

CMS-1500 Box 24J / 33a • NPI

1053914531

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

376J00000X

Licensed & Credentialed Homemaker

Box 32 Service Location & ZIP+4

832 N STATELINE RD, MASURY, OH, 44438-1640

✓ 9-Digit EDI 837 ZIP+4 (44438-1640)

Practice Phone & Referral Fax

(330) 969-1098

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053914531 (KALEIDOSCOPE PROJECT,INC.) 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	`1053914531` (NPI-2 Organization / Facility)
Provider / Legal Name	KALEIDOSCOPE PROJECT,INC.
Plain-English Specialty	Licensed & Credentialed Homemaker NUCC Code: `376J00000X` (Homemaker)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	832 N STATELINE RD, MASURY, OH, 44438-1640
Practice Telephone / Fax	Tel: (330) 969-1098
Administrative Mailing Address	6610 PHEASANT RUN DR, CANFIELD, OH, 44406-8742
Enumeration & Last Sync	Enumerated: 2020-11-18 \| CMS Record Updated: 2020-11-18
Authorized Official	RICHARD SIMMONS (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

832 N STATELINE RD, MASURY, OH, 44438-1640

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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 (KALEIDOSCOPE PROJECT,INC.)

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
`251C00000X` — Day Training, Developmentally Disabled Services Plain English: Licensed & Credentialed Day Training, Developmentally Disabled Services	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
`347C00000X` — Private Vehicle Plain English: Licensed & Credentialed Private Vehicle	State: N/A \| License: `Verified` \| Primary: Secondary
`3747P1801X` — Technician, Personal Care Attendant Plain English: Licensed & Credentialed Technician, Personal Care Attendant	State: N/A \| License: `Verified` \| Primary: Secondary
`376J00000X` — Homemaker Plain English: Licensed & Credentialed Homemaker	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KALEIDOSCOPE PROJECT,INC. (NPI #1053914531)