MEDICARE: WISE MEDICAL STAFFING, INC.

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1255282596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WISE MEDICAL STAFFING, INC.

Provider Business Mailing Address
First Line	:	6 HEALTH DR
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-8604
Country	:	US
Telephone Number	:	740-775-4108
Fax Number	:	740-237-3516

Provider Business Practice Location Address
First Line	:	7411 114TH AVE
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-5133
Country	:	US
Telephone Number	:	740-775-4108
Fax Number	:	740-237-3516

Authorized Official
Title or Position	:	INTAKE MANAGER
Name	:	ASHLEY KISER
Credential	:
Telephone Number	:	740-775-4108

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	05/19/2026

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