Crystal A Mclendon is a Non-emergency Medical Transport (VAN) based in Canton, OH. Crystal A Mclendon practices in Canton, OH. The NPI Number for Crystal A Mclendon is 1063009702 and holds a License No. 2573442 (Ohio).
The current practice location address for Crystal A Mclendon is 4805 Castlebar St Nw, Canton, OH and can be reached out via phone at 330-430-9662.
Location: 4805 Castlebar St Nw, Canton, OH, 44708-2045
Provider Profile Details
NPI Number
1063009702
Provider Name
Crystal A Mclendon
Credential
Provider Entity Type
Individual
Gender
Female
Address
4805 Castlebar St Nw, Canton, OH, 44708-2045
Phone Number
330-430-9662
Fax Number
Provider Enumeration Date
12/29/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2573442 | 01 | OH | OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES |
| 0385197 | 05 | OH |
Provider Business Practice Location Address Details
Address
4805 Castlebar St Nw
City
State
Zip
44708-2045
Phone Number
330-430-9662
Fax Number
Provider Business Mailing Address Details
Address
4805 Castlebar St Nw
City
State
Zip
44708-2045
Phone Number
330-430-9662
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
2573442 (Ohio)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Supports Brokerage
Speciality
-
Taxonomy
License No.
()
Definition
A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.
Provider's Taxonomy Details 3
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
License No.
2573442 (Ohio)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Provider's Taxonomy Details 4
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
Provider's Taxonomy Details 5
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
2573442 (Ohio)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Provider's Taxonomy Details 6
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Provider's Taxonomy Details 7
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
License No.
2573442 (Ohio)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Provider's Taxonomy Details 8
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
License No.
2573442 (Ohio)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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