Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Wydell Johnson Sr.

Individual provider Personal Care Attendant · NPI 1780495689

Andre Wydell Johnson Sr. is a Personal Care Attendant in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

2120 Horton St # 43620
Toledo, OH 43620-1749
Phone: (419) 557-1311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X · Licence RN801269 (OH)

Record details

NPI number1780495689
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 20, 2025
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 19, 2025
Mailing address2120 Horton St # 43620, Toledo, OH 43620-1749

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