MEDICARE: SHELTER IN PLACE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1033808324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELTER IN PLACE

Provider Business Mailing Address
First Line	:	90 E MAIN ST
Second Line	:
City	:	WEST JEFFERSON
State	:	OH
Zip	:	43162-1206
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3880 CLIME RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-3532
Country	:	US
Telephone Number	:	740-466-4103
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSHUA WISEMAN
Credential	:	LICDC
Telephone Number	:	740-466-4103

Provider Enumeration Date	:	05/03/2023
Last Update Date	:	05/03/2023

Similar Medicare Providers

1487512075 — NEVER HOME ALONE YOUTH SERVICE LLC
Practice Location Address:

3880 CLIME RD
COLUMBUS, OH
43228-3532

Practice Phone: 614-290-7168
Practice Fax:

1336753466 — PUSH FOR RECOVERY, LLC
Practice Location Address:

3880 CLIME ROAD , BUILDING 2/SUITE A
COLUMBUS, OH
43228-3532

Practice Phone: 614-507-0713
Practice Fax:

1568268142 — SOLACE CLINICAL COUNSELING, LLC
Practice Location Address:

3880 CLIME RD
COLUMBUS, OH
43228-3532

Practice Phone: 740-507-0606
Practice Fax:

1912249509 — IMMACULATE HOMEHEALTH CARE SERVICES LLC
Practice Location Address:

2180 STELZER RD STE A
COLUMBUS, OH
43219-3532

Practice Phone: 614-392-1865
Practice Fax: 614-392-1866

1639769631 — BARBARA A JEFFERIS
Practice Location Address:

3532 LA ROCHELLE DR
COLUMBUS, OH
43221-1536

Practice Phone: 614-457-2423
Practice Fax:

1003704354 — CHRISTINA MAXWELL
Practice Location Address:

1614 17TH ST
COLUMBUS, NE
68601-3532

Practice Phone: 402-270-0654
Practice Fax:

Directions to “SHELTER IN PLACE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.