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

Mrs. Kandyse Shanell Wagner

Individual provider Personal Care Attendant · NPI 1871301721

Mrs. Kandyse Shanell Wagner is a Personal Care Attendant in Maple Heights, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

16229 Edgewood Ct
Maple Heights, OH 44137-3967
Phone: (216) 212-6463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1871301721
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 24, 2024
Last updated in NPPESDecember 24, 2024
Certification dateDecember 24, 2024
Mailing address16229 Edgewood Ct, Maple Heights, OH 44137-3967

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