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Miss Jennifer Marie Atwell, CERTIFIEDPROVIDER
Nursing Care Agency in Mansfield, Ohio
NPI 1548504160

Jennifer Marie Atwell is a Nursing Care Agency based in Mansfield, OH. Jennifer Marie Atwell practices in Mansfield, OH and has the professional credentials of CERTIFIEDPROVIDER. The NPI Number for Jennifer Marie Atwell is 1548504160 and holds a License No. 2971324 (Ohio).

The current practice location address for Jennifer Marie Atwell is 85 W Raleigh Ave, Mansfield, OH and can be reached out via phone at 567-241-3618 and via fax at 419-775-5487. You can also correspond with Jennifer Marie Atwell through the mailing address at 85 W RALEIGH AVE, MANSFIELD, OH - 44907-1335 (mailing address contact number: 567-241-3618).

Location: 85 W Raleigh Ave, Mansfield, OH, 44907-1335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548504160
Provider Name
Jennifer Marie Atwell
Credential
CERTIFIEDPROVIDER
Provider Entity Type
Individual
Gender
Female
Address
85 W Raleigh Ave, Mansfield, OH, 44907-1335
Phone Number
567-241-3618
Fax Number
419-775-5487
Provider Enumeration Date
11/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7002406 01 OH OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CONTRACT NUMBER
2971324 05 OH
institution
Provider Business Practice Location Address Details
Address
85 W Raleigh Ave
City
Mansfield
State
Ohio
Zip
44907-1335
Phone Number
567-241-3618
Fax Number
419-775-5487
person
Provider Business Mailing Address Details
Address
85 W Raleigh Ave
City
Mansfield
State
Ohio
Zip
44907-1335
Phone Number
567-241-3618
Fax Number
419-775-5487
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
2971324 (Ohio)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
2971324 (Ohio)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
2971324 (Ohio)
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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