Jetlife Wellness Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

JETLIFE WELLNESS CENTER

Practice address

6411 Lanercost Rd
Reynoldsburg, OH 43068-3515

Phone

(614) 599-6744

NPI assigned

Jan 22, 2025

Organization subpart

No

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

Authorized official

Name

Marquise M Henderson, PROGRAM DIRECTOR

Title

Casemanagement

Phone

(614) 599-6744

Specialties & licenses 3

Addresses

Other names 1

• Jetlife Wellness Center Doing business as

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"
        }
    ]
}

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• Amber Johnson, PHARMD

• Case Management Agency in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Case Management Agency in Ohio

• 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.