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Mr. John L Blackstone
Private Vehicle in Englewood, Ohio
NPI 1740046002

John L Blackstone is a Private Vehicle based in Englewood, OH. John L Blackstone practices in Englewood, OH. The NPI Number for John L Blackstone is 1740046002 and holds a License No. (Ohio).

The current practice location address for John L Blackstone is 205 Silverstone Dr, Englewood, OH and can be reached out via phone at 937-620-8726.

Location: 205 Silverstone Dr, Englewood, OH, 45322-1722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740046002
Provider Name
John L Blackstone
Credential
Provider Entity Type
Individual
Gender
Male
Address
205 Silverstone Dr, Englewood, OH, 45322-1722
Phone Number
937-620-8726
Fax Number
Provider Enumeration Date
02/26/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
205 Silverstone Dr
City
Englewood
State
Ohio
Zip
45322-1722
Phone Number
937-620-8726
Fax Number
person
Provider Business Mailing Address Details
Address
205 Silverstone Dr
City
Englewood
State
Ohio
Zip
45322-1722
Phone Number
937-620-8726
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
RQ741430 (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.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
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
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