Healthcare Provider Details

I. General information

NPI: 1356262836
Provider Name (Legal Business Name): WISDOM HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 MERLIN DR APT E
FAIRFIELD OH
45014-4142
US

IV. Provider business mailing address

24 MERLIN DR
FAIRFIELD OH
45014-7163
US

V. Phone/Fax

Practice location:
  • Phone: 513-886-3444
  • Fax:
Mailing address:
  • Phone: 513-886-3444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NOBLE L ALEXANDER III
Title or Position: CEO
Credential:
Phone: 513-886-3444