JACQUELYN N WISE NPI 1215757208

NPI Information

  • NPI: 1215757208
  • Provider Name: JACQUELYN N WISE
  • Classification: Homemaker - 376J00000X
  • Entity Type: Individual
  • Address: 250 GUILFORD BLVD
    MEDINA, OH
    ZIP 44256
  • Phone: (330) 590-7034

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NPI Details

Jacquelyn N Wise is a homemaker in Medina, OH. The provider is 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. Jacquelyn N Wise NPI is 1215757208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

250 GUILFORD BLVD
MEDINA, OH
ZIP 44256-135
Phone: (330) 590-7034

The enumeration date for this NPI number is 10/14/2024 and was last updated on 10/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251X00000XSupports BrokerageNo
2253Z00000XIn Home Supportive CareNo
3347C00000XPrivate VehicleNo
4372600000XAdult CompanionNo
5261QA0600XClinic/CenterAdult Day CareNo
6343900000XNon-emergency Medical Transport (VAN)No
7103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
8101YP2500XCounselorProfessionalNo
9133N00000XNutritionistNo
10172A00000XDriverNo
11251C00000XDay Training, Developmentally Disabled ServicesNo
12374U00000XHome Health AideNo
13385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
14385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
15376J00000XHomemakerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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