Benevolence Jeanne Tilley
Individual provider Active NPI Case Manager/Care Coordinator · Otway, OH
NPI 1043154602 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1043154602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- RZ704838 (OH)
- Practice address
- 420 Dodds Rd
Otway, OH 45657-9045 - Phone
- (740) 935-0512
- NPI assigned
- Apr 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RZ704838 | OH | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | RZ704838 | OH | Yes |
Addresses
Primary practice location
420 Dodds Rd
Otway, OH 45657-9045
Mailing address
10400 Blacklick Eastern Rd
Pickerington, OH 43147-8235
Other providers in Otway, OH
- Melissa Jane Powell
- Hannah Russell
- Scioto Amubulance District
- Veronica Ann Smith
- Rebecca Ann Strickland
- Kayla Vest
- Jessica Leigh-Ann Whaley
All providers in Otway, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.