Wayne Manor

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

WAYNE MANOR

Practice address

898 Township Road 210
Marengo, OH 43334-9623

Phone

(419) 210-4645

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 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

Crystal ClevelandNPI 1609476936

Title

Owner

Phone

(419) 210-4649

Specialties & licenses 5

Addresses

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.

• Crystal Cleveland

  • In Home Supportive Care Agency
  • Marengo, OH
  • NPI 1609476936
  NPD Authorized official

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1841891827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 TOWNSHIP ROAD 210",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349623",
            "telephone_number": "419-210-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 TOWNSHIP ROAD 210",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349623",
            "telephone_number": "419-210-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-210-4649"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Airian D Spangler
• Robyn Denise Stiffler, RN
• Miranda Ulrey, OTR/L
• Uptown Pharmacy LLC (Essentra Pharmacy)
• Sara Wallace, ED.S.
• Michael Joseph West
• Briana Eshell Woods
• Nevaeh Woods
• Yourx Store Inc
• Mark Zachary Zader, DC

• Foster Care Agency in Marengo, OH
• Providers in Marengo, OH by specialty
• Foster Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.