=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902767031
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WISE MEDICAL STAFFING, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/19/2025
-----------------------------------------------------
Last Update Date | 12/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1038 QUARRIER ST STE 100
-----------------------------------------------------
City | CHARLESTON
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25301-2307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-775-4108
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6 HEALTH DR
-----------------------------------------------------
City | CHILLICOTHEE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45601-8604
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-775-4108
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | LYNDSEY THORNSBERRY
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 740-237-3677
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------