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JAIDYN MARIE MAVIS INDEPENDENT PROVIDER
NPI 1063289528
Home Health in Wapakoneta, OH

Active since December 05, 2023
612 BELLEFONTAINE ST, WAPAKONETA, OH 45895(567) 356-9812 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaidyn Marie Mavis Independent Provider NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAIDYN MARIE MAVIS INDEPENDENT PROVIDER (NPI 1063289528) is an individual home health provider in Wapakoneta, Ohio and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1063289528
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameJAIDYN MARIE MAVISCredential: INDEPENDENT PROVIDER
Location Address612 BELLEFONTAINE STWapakoneta, OH 45895-2016
Mailing Address612 Bellefontaine StWapakoneta, OH 45895-2016 · (567) 356-9812
Phone(567) 356-9812
Sole ProprietorYes
Enumeration DateDecember 5, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1063289528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
612 BELLEFONTAINE ST, Wapakoneta, OH 45895
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Other Names 1

Former Name (1)Miss Jaidyn Mavis Independent Provider

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER W MAVIS
Home Health Aide
612 BELLEFONTAINE ST
WAPAKONETA, OH 45895
Auglaize County (567) 356-6996
TIFFANIE MARIE MAVIS
Home Health Aide
612 BELLEFONTAINE ST
WAPAKONETA, OH 45895
Auglaize County (567) 356-6937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaidyn Mavis's NPI number?

The NPI number for Jaidyn Mavis is 1063289528. It was assigned to this individual provider in the NPPES registry on December 5, 2023. The provider is also known as Miss Jaidyn Mavis Independent Provider.

Where is Jaidyn Mavis located?

Jaidyn Mavis practices at 612 Bellefontaine St, Wapakoneta, OH 45895. The listed phone number is (567) 356-9812.

What is Jaidyn Mavis's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Jaidyn Mavis was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.