WLLIAM EDWARD SLAISE JR. (NPI# 1598308058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598308058 |
| Entity Type | Individual |
| Full Name | WLLIAM EDWARD SLAISE JR. |
| Practice Address |
799 S Main St Lima OH 45804-1519 |
| Mailing Address |
5982 Rhodes Rd Kent OH 44240-8100 |
| Practice Telephone | 4192292222 |
| Mailing Telephone | 3306731347 |
| Mailing Fax Number | 3306783677 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
799 S MAIN ST |
| City | LIMA |
| State | OH |
| Zip Code | 45804-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376767228 | Wendy L Bauer | Registered Nurse | 799 S Main St, Lima, OH 45804-1519 | 2007-04-12 |
| 1174130363 | Mary Jalene Terry | Registered Nurse | 799 S Main St, Lima, OH 45804-1519 | 2020-09-30 |
| 1821608100 | Lauren Paton | Pharmacist | 799 S Main St, Lima, OH 45804-1519 | 2020-08-03 |
| 1609492461 | Alexis S Hilyard | Social Worker | 799 S Main St, Lima, OH 45804-1519 | 2020-06-17 |
| 1841826542 | Mallory Ann Wildermuth | Social Worker | 799 S Main St, Lima, OH 45804-1519 | 2020-03-14 |
| 1093349409 | Kimberly Ann Williams | Licensed Practical Nurse | 799 S Main St, Lima, OH 45804-1519 | 2020-02-24 |
| 1013553270 | Destinee Ricale Bridges | Case Manager/Care Coordinator | 799 S Main St, Lima, OH 45804-1519 | 2019-11-22 |
| 1093356438 | Morgan Brittny Morton | Social Worker | 799 S Main St, Lima, OH 45804-1519 | 2019-10-07 |
| 1124674882 | Amonte Jayveon Glenn | Case Manager/Care Coordinator | 799 S Main St, Lima, OH 45804-1519 | 2019-08-16 |
| 1629624739 | Alison Kaye Entinghe | Licensed Practical Nurse | 799 S Main St, Lima, OH 45804-1519 | 2019-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564255 | Margarita Padua | Case Manager/Care Coordinator | 862 S Cable Rd, Suite B, Lima, OH 45805 | 2020-06-26 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1114589389 | Ashley Nicole Newland | Case Manager/Care Coordinator | 1433 S Sugar St, Lima, OH 45804-2655 | 2019-07-08 |
| 1669937736 | Heather Lynn Wireman | Case Manager/Care Coordinator | 658 W Market St Ste 112, Lima, OH 45801-4699 | 2019-02-04 |
| 1386250397 | Halie Zenz | Case Manager/Care Coordinator | 530 S Main St, Lima, OH 45804-1500 | 2020-09-16 |
| 1265058523 | Geri Sue Mangas | Case Manager/Care Coordinator | 892 S Cable Rd Ste B, Lima, OH 45805-3485 | 2020-06-23 |
| 1013553270 | Destinee Ricale Bridges | Case Manager/Care Coordinator | 799 S Main St, Lima, OH 45804-1519 | 2019-11-22 |
| 1740823996 | Ramona J Phalen | Case Manager/Care Coordinator | 658 W Market St Ste 101, Lima, OH 45801-5604 | 2019-10-21 |
| 1477195501 | Danielle Green | Case Manager/Care Coordinator | 311 E Market St Ste 3, Lima, OH 45801-4535 | 2019-10-10 |
| 1710538137 | Maryjo Hammond | Case Manager/Care Coordinator | 530 S Main St, Lima, OH 45804-1240 | 2019-09-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.