Individual provider · Type 1 NPI

Adrianne Lanique Vidales

Supports Brokerage Agency · Toledo, UM

NPI number 1316842867 Active

Practice location

4123 Terrace View St., Apartment 4
Toledo, UM 43607

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Driver 172A00000XSR329458 (OH)
Physical Disabilities Residential Treatment Facility 320700000XNone listed
Non-Pharmacy Dispensing Site 332900000XNone listed
Emergency Response System Companies 333300000XNone listed
Transportation Network Company 342000000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Private Vehicle 347C00000XNone listed
Transportation Broker 347E00000XNone listed
Adult Companion 372600000XNone listed
Attendant Care Provider 3747A0650XNone listed
Personal Care Attendant 3747P1801XNone listed
Home Health Aide 374U00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Supports Brokerage Agency Primary 251X00000XNone listed

Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …

About NPI 1316842867

Adrianne Lanique Vidales's National Provider Identifier is 1316842867, issued on Oct 13, 2026. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in Toledo, UM. The record was last updated on Oct 13, 2026.