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NPISignal

Individual Healthcare Provider

Jacquelyn N Wise

NPI Record: ActiveHomemaker
NPI1215757208
Medina, Ohio

Provider's NPPES record last updated: October 14, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1215757208
Primary Specialty
Homemaker
Practice Location
Medina, Ohio
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 7:02 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Homemaker

    Nursing Service Related Providers

    Primary

    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.

    Taxonomy code 376J00000X
  • Supports Brokerage

    Agencies

    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 may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.

    Taxonomy code 251X00000X
  • In Home Supportive Care

    Agencies

    An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

    Taxonomy code 253Z00000X
  • Private Vehicle

    Transportation Services

    An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

    Taxonomy code 347C00000X
  • Adult Companion

    Nursing Service Related Providers

    An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

    Taxonomy code 372600000X
  • Clinic/Center

    Adult Day Care

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QA0600X
  • Non-emergency Medical Transport (VAN)

    Transportation Services

    A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

    Taxonomy code 343900000X
  • Psychologist

    Intellectual & Developmental Disabilities

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 103TM1800X
  • Counselor

    Professional

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YP2500X
  • Nutritionist

    Dietary & Nutritional Service Providers

    A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

    Taxonomy code 133N00000X
  • Driver

    Other Service Providers

    A person employed to operate a motor vehicle as a carrier of persons or property.

    Taxonomy code 172A00000X
  • Day Training, Developmentally Disabled Services

    Agencies

    These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

    Taxonomy code 251C00000X
  • Home Health Aide

    Nursing Service Related Providers

    A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

    Taxonomy code 374U00000X
  • Respite Care

    Respite Care, Mental Illness, Child

    Respite Care Facility

    A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

    Taxonomy code 385HR2055X
  • Respite Care

    Respite Care, Intellectual and/or Developmental Disabilities, Child

    Respite Care Facility

    A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

    Taxonomy code 385HR2060X

Practice Locations

Practice Location

250 Guilford Blvd

Medina, Ohio 44256-2135

Phone: (330) 590-7034

Record Information

Enumeration Date
October 14, 2024
Provider's NPPES Record Last Updated
October 14, 2024
Certification Date
October 14, 2024
NPISignal NPPES Dataset
August 2026

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