Provider Demographics
NPI:1235017906
Name:MAXWELL, MACHELLE A
Entity type:Individual
Prefix:MRS
First Name:MACHELLE
Middle Name:A
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1483 N ELYRIA RD
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-7514
Mailing Address - Country:US
Mailing Address - Phone:330-749-8486
Mailing Address - Fax:
Practice Address - Street 1:820 KING RIDGE DR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-3667
Practice Address - Country:US
Practice Address - Phone:419-651-8599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No172A00000XOther Service ProvidersDriver