NPIMap

Organization Active NPI

Wise Medical Staffing, Inc.

  • Home Health Agency
  • Chillicothe, OH
National Provider Identifier
1902062177
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WISE MEDICAL STAFFING, INC.
Practice address
6 Health Dr
Chillicothe, OH 45601-8604
Phone
(740) 775-4108
Fax
(740) 775-3733
NPI assigned
Aug 6, 2008
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Shirley K Hamilton
Title
RN Administrator
Phone
(740) 775-4108

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Chore Provider 372500000X OH
Adult Companion 372600000X OH
Attendant Care Provider 3747A0650X OH
Personal Care Attendant 3747P1801X OH
Homemaker 376J00000X OH
Nurse's Aide 376K00000X OH
In Home Supportive Care Agency 253Z00000X OH

Addresses

Primary practice location

6 Health Dr
Chillicothe, OH 45601-8604

Mailing address

6 Health Dr
Chillicothe, OH 45601-8604
Phone (740) 775-4108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151230002590 OH Part A Provider - Home Health Agency 7315906823 Practice locations: Chillicothe, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902062177. Details of each certification follow.

Home health agency certification: CCN 369156

Legal name
WISE MEDICAL STAFFING, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 28, 2017
Last certification
Jan 28, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 13, 2001 in WV
Enrollment address
6 Health Dr
Chillicothe, OH 45601-8604
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wise Medical Staffing IncCCN 369156 · All quality measures
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Jan 28, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2100423Wise Medical Staffing, Inc6 Health Drive, Chillicothe, OH 45601Certificate of waiverAug 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wise Medical Staffing18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

80 E 2nd St
Chillicothe, OH 45601
Phone (740) 773-4663

4130 Linden Ave
Ste 240
Dayton, OH 45432

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Milton Clegg Individual 5% Or Greater Direct Ownership InterestN/a Jan 1, 2022 100%
Lyndsey Thornsberry Individual Corporate Director Aug 24, 2025 100%
W-2 Managing EmployeeAd; Feb 24, 2025 100%
Wise Medical Staffing, Inc. Organization, Chillicothe, OH Corporation, Medical staffing company, For-profit Operational/Managerial Control Jan 1, 2021 50%

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bellbrook Health and RehabBellbrook, OH, CCN 365626 Skilled nursing facility Adp of the SNF Sep 29, 2022
Xenia Health and RehabXenia, OH, CCN 365187 Skilled nursing facility Adp of the SNF Sep 29, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1902062177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HEALTH DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018604",
            "telephone_number": "740-775-4108",
            "fax_number": "740-775-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HEALTH DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018604",
            "telephone_number": "740-775-4108",
            "fax_number": "740-775-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MEDICAL STAFFING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "RN ADMINISTRATOR",
        "authorized_official_telephone_number": "740-775-4108"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.