Healthcare Provider Details

I. General information

NPI: 1952236192
Provider Name (Legal Business Name): SYDNEY WISE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 SPRING VALLEY DR
LEWIS CENTER OH
43035
US

IV. Provider business mailing address

6288 WINGSTEM ST
WESTERVILLE OH
43082-8981
US

V. Phone/Fax

Practice location:
  • Phone: 614-657-7066
  • Fax:
Mailing address:
  • Phone: 614-657-7066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: