NPIMap

Organization Active NPI

Jetlife Wellness Center

  • Case Management Agency
  • Reynoldsburg, OH
National Provider Identifier
1821800475
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JETLIFE WELLNESS CENTER
Doing business as
Jetlife Wellness Center
Practice address
6411 Lanercost Rd
Reynoldsburg, OH 43068-3515
Phone
(614) 599-6744
NPI assigned
Jan 22, 2025
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Marquise M Henderson, PROGRAM DIRECTORNPI 1962103804
Title
Casemanagement
Phone
(614) 599-6744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

6411 Lanercost Rd
Reynoldsburg, OH 43068-3515

Mailing address

6411 Lanercost Rd
Reynoldsburg, OH 43068-3515
Phone (614) 599-6744

Other names 1

  • Jetlife Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1821800475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 LANERCOST RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683515",
            "telephone_number": "614-599-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 LANERCOST RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683515",
            "telephone_number": "614-599-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETLIFE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MARQUISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CASEMANAGEMENT",
        "authorized_official_telephone_number": "614-599-6744",
        "authorized_official_credential": "PROGRAM DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jetlife Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jetlife Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.