Wynn-Reeth, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

7200184 Issued in OH

Legal business name

WYNN-REETH, INC.

Practice address

137 South Broadway Street
Green Springs, OH 44836-0785

Phone

(419) 639-2094

Fax

(419) 639-2099

NPI assigned

Oct 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jarrod Hunt

Title

Ceo

Phone

(419) 639-2094

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457441826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448360785",
            "telephone_number": "419-639-2094",
            "fax_number": "419-639-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 SOUTH BROADWAY STREET",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448360785",
            "telephone_number": "419-639-2094",
            "fax_number": "419-639-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNN-REETH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-639-2094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "7200184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMRDD PROVIDER NUMBER",
            "identifier": "7200184",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0961544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Nichole Weaver
• Alexis Weichman, CDCA
• Angelina Renee' Williams, LPN
• Laurie Anne Wise
• Madelyn Wise, RN
• Beth Marie Young, LCDC II
• Audrianna Zetzer, REGISTERED NURSE
• Lauren Marie Zwolensky, RN

• Developmentally Disabled Services Day Training Agency in Green Springs, OH
• Providers in Green Springs, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.