Individual provider · Type 1 NPI

Jacquelyn N. Wise

Homemaker · Medina, OH

NPI number 1215757208 Active

Practice location

250 Guilford Blvd
Medina, OH 44256-2135

Specialties and licenses

Taxonomy	Code	License
Supports Brokerage Agency	251X00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed
Private Vehicle	347C00000X	None listed
Adult Companion	372600000X	None listed
Adult Day Care Clinic/Center	261QA0600X	None listed
Non-emergency Medical Transport (VAN)	343900000X	None listed
Intellectual & Developmental Disabilities Psychologist	103TM1800X	None listed
Professional Counselor	101YP2500X	None listed
Nutritionist	133N00000X	None listed
Driver	172A00000X	None listed
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Home Health Aide	374U00000X	None listed
Child Mental Illness Respite Care	385HR2055X	None listed
Child Intellectual and/or Developmental Disabilities Respite Care	385HR2060X	None listed
Homemaker Primary	376J00000X	None listed

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Other homemaker providers in Medina

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About NPI 1215757208

Jacquelyn N. Wise's National Provider Identifier is 1215757208, issued on Oct 14, 2024. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Medina, OH. The record was last updated on Oct 14, 2024.