Organization Active NPI

Wise Hands Residential Services LLC

  • Community/Behavioral Health Agency
  • Canton, OH
National Provider Identifier
1841035169
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WISE HANDS RESIDENTIAL SERVICES LLC
Practice address
831 Market Ave N Ste 210
Canton, OH 44702-1175
Phone
(330) 495-8090
NPI assigned
Jun 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Ravon WiseNPI 1043861982
Title
Owner
Phone
(330) 495-8090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Community/Behavioral Health Agency 251S00000X Primary
Supports Brokerage Agency 251X00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

831 Market Ave N Ste 210
Canton, OH 44702-1175

Mailing address

831 Market Ave N Ste 210
Canton, OH 44702-1175
Phone (330) 495-8090

National Provider Directory

National Provider Directory

Locations

831 Market Ave N
Ste 210
Canton, OH 44702
Phone (330) 495-8090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1841035169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 MARKET AVE N STE 210",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021175",
            "telephone_number": "330-495-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MARKET AVE N STE 210",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021175",
            "telephone_number": "330-495-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE HANDS RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "RAVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-495-8090"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.