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Request for Service
Region 4
Cuyahoga
Defiance
Erie
Fulton
Geauga
Henry
Lake
Lorain
Lucas
Medina
Ottawa
Paulding
Sandusky
Williams
Wood
Cuyahoga | Request for Service | | Posted | 11/17/2009 | | County | Cuyahoga | | Request ID | R4184416B | | Sex | Female | | Age | School Age | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | Mon-Friday 5hrs. | NO PHONE CALLS PLEASE | E-Mail Responses only! | | | Saturday and Sunday up to 10hrs. | | | Special Considerations | Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Consumer requests provider with MRDD experience | | Contact | Theresa Gauchat, Case Manager
Phone: 216-532-8275
| | Complete by | 11/27/2009 |
| Request for Service | | Posted | 11/20/2009 | | County | Cuyahoga | | Request ID | R452RS205 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 7a.m. to 3 p.m. and 4p.m. to 8 p.m. | 9a.m to 3 p.m. and 3 p.m to 11 p.m. | 7 a.m. to 3 p.m. and 3 p.m to 11 p.m | 7 p.m. to 3 p.m. and 3 p.m. to 8 p.m. | 9a.m to 3 p.m. and 3 p.m to 11 p.m. | 7a.m. to 3 p.m and 3 p.m. to 11 p.m | 7 a.m. to 3 p.m and 3 p.m. to 11 p.m. | | Special Considerations | Consumer requests only independent providers | | Contact | Michele Hammond, Case Manager
Phone: 216-532-2027
| | Complete by | 12/5/2009 |
| Request for Service | | Posted | 11/20/2009 | | County | Cuyahoga | | Request ID | R452RS205 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 7a.m. to 3 p.m. and 4p.m. to 8 p.m. | 9a.m to 3 p.m. and 3 p.m to 11 p.m. | 7 a.m. to 3 p.m. and 3 p.m to 11 p.m | 7 p.m. to 3 p.m. and 3 p.m. to 8 p.m. | 9a.m to 3 p.m. and 3 p.m to 11 p.m. | 7a.m. to 3 p.m and 3 p.m. to 11 p.m | 7 a.m. to 3 p.m and 3 p.m. to 11 p.m. | | Special Considerations | Consumer requests only independent providers | | Contact | Michele Hammond, Case Manager
Phone: 216-532-2027
| | Complete by | 12/5/2009 |
| Request for Service | | Posted | 11/20/2009 | | County | Cuyahoga | | Request ID | R45200000 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1003 (LPN/LVN Services), T1002 (RN Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 8p.m. to 11 p.m. | 7 a.m. to 9 a.m. | | 8 p.m .to 11 p.m . | 7 a.m to 9 a.m. | | | | Special Considerations | Consumer requests only independent providers | | Contact | Michele Hammond, Case Manager
Phone: 216-532-2027
| | Complete by | 12/5/2009 |
| Request for Service | | Posted | 11/20/2009 | | County | Cuyahoga | | Request ID | R41825855 | | Sex | Female | | Age | School Age | | Program | Waiver | | Service Codes | | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | | | | | 11AM-3PM | 9AM-1PM | | Special Considerations | Consumer requests only non-smoker providers, Consumer requires lifting, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Shelia Harris, Case Manager
Phone: 216-532-2004
| | Complete by | 11/25/2009 |
| Request for Service | | Posted | 11/20/2009 | | County | Cuyahoga | | Request ID | R4181013 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 9pm-12am | 9pm-12 am | 9pm-12am | 9pm-12am | 9pm-12am | 9pm-12am | 9pm-12am | | Special Considerations | Consumer requests only independent providers | | Contact | Karan Osowski, Case Manager
Phone: 216-532-2012
| | Complete by | 11/25/2009 |
Defiance Erie Fulton | Request for Service | | Posted | 11/17/2009 | | County | Fulton | | Request ID | R42629485 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 8am-10am and 8pm-10pm | 8am-10am and 8pm-10pm | 8am-10am and 8pm-10pm | 8am-10am and 8pm-10pm | 8am-10am and 8pm-10pm | 8am-10am and 8pm-10pm | 8am-10am and 8pm-10pm | | Special Considerations | Consumer requests only agencies, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Joan Ziehm, Case Manager
Phone: 216-532-2021
| | Complete by | 11/27/2009 |
Geauga Henry | Request for Service | | Posted | 11/18/2009 | | County | Henry | | Request ID | R43526899 | | Sex | Male | | Age | Preschool | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | Need Nurse to fill in shifts of 5-6 hours on various days | | | | | | | | Special Considerations | Consumer requests only non-smoker providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Joan Ziehm, Case Manager
Phone: 216-532-2021
| | Complete by | 11/23/2009 |
Lake | Request for Service | | Posted | 11/12/2009 | | County | Lake | | Request ID | R44320054 | | Sex | Female | | Age | Geriatric | | Program | Waiver | | Service Codes | T1003 (LPN/LVN Services), T1002 (RN Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 6a - 2p | | | | | | 6a - 2p | | Special Considerations | Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Brandy Dickman, Case Manager
Phone: 216-532-8288
| | Complete by | 11/22/2009 |
| Request for Service | | Posted | 11/12/2009 | | County | Lake | | Request ID | R44320671 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | | | | | 9a-12p | 9a-12p | | Special Considerations | Consumer requests only agencies, Consumer requests only independent providers, Consumer requests only non-smoker providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Kristina Johnston, Case Manager
Phone: 216-532-8319
| | Complete by | 11/27/2009 |
Lorain | Request for Service | | Posted | 11/6/2009 | | County | Lorain | | Request ID | R44724809 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 7 days a week | 9a-12p and again 6p-9p | | | | | | | Special Considerations | Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Dawn Steele, Case Manager
Phone: 614-729-1021
| | Complete by | 11/21/2009 |
| Request for Service | | Posted | 11/6/2009 | | County | Lorain | | Request ID | R44724809 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 7 days a week | 9a-12p and again 6p-9p | | | | | | | Special Considerations | Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Dawn Steele, Case Manager
Phone: 614-729-1021
| | Complete by | 11/21/2009 |
| Request for Service | | Posted | 11/6/2009 | | County | Lorain | | Request ID | R447202CT | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | 12noon-2pm | | 12noon-2pm | | | 9a-12noon | | Special Considerations | Consumer requests only independent providers, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Denise Loke, Case Manager
Phone: 216-446-0395
| | Complete by | 11/21/2009 |
| Request for Service | | Posted | 11/9/2009 | | County | Lorain | | Request ID | R447268EW | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) | 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) | 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) | 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) | 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) | 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) | 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) | | Special Considerations | Consumer requests only independent providers, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Consumer requires nurse with ventilator experience | | Contact | Denise Loke, Case Manager
Phone: 216-446-0395
| | Complete by | 11/24/2009 |
| Request for Service | | Posted | 11/13/2009 | | County | Lorain | | Request ID | R447489kc | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | | | | | up to 4 hours starting at 5pm AND every other Saturday 8a-1p STNA from Lorain only | up to 4 hours starting at 5pm AND every other Sunday 8a-1p STNA from Lorain only | | Special Considerations | Consumer requests only independent providers, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Denise Loke, Case Manager
Phone: 216-446-0395
| | Complete by | 11/28/2009 |
| Request for Service | | Posted | 11/16/2009 | | County | Lorain | | Request ID | R44721093 | | Sex | Female | | Age | Young Adult | | Program | Waiver | | Service Codes | T1002/3 (Agency Only Nursing Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 9 am - 1 pm | 9 am - 1 pm | 9 am - 1 pm | 9 am - 1 pm | 9 am - 1 pm | 9 am - 1 pm | 9 am - 1 pm | | Special Considerations | Consumer requests only agencies | | Contact | Roberta Intihar, Case Manager
Phone: 216-532-8374
| | Complete by | 12/1/2009 |
Lucas | Request for Service | | Posted | 11/6/2009 | | County | Lucas | | Request ID | R44820415 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 4 hour/ evening visit | 4 hour/ evening visit | 4 hour/ evening visit | 4 hour/ evening visit | 4 hour/ evening visit | 2 hour AM visit and 4 hour/evening visit | 2 hour AM visit and 4 hour/evening visit | | Special Considerations | Consumer requests only agencies, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Consumer requests provider with MRDD experience | | Contact | Heather Shue, Case Manager
Phone: 216-532-2032
| | Complete by | 11/21/2009 |
| Request for Service | | Posted | 11/10/2009 | | County | Lucas | | Request ID | R48720985 | | Sex | Male | | Age | Young Adult | | Program | Waiver | | Service Codes | G0154 (Skilled Nurse in a Home Health Setting), T1000 (Private Duty/Independent Nursing Service(s)), T1003 (LPN/LVN Services), T1002 (RN Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 4p-11p | 4p-11p | 4p-11p | 4p-11p | 4p-11p | | | | Special Considerations | Consumer requests only independent providers, Consumer requires transportation | | Contact | Brooke Rollins, Case Manager
Phone: 216-532-8383
| | Complete by | 11/25/2009 |
| Request for Service | | Posted | 11/19/2009 | | County | Lucas | | Request ID | R448dunn | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | DLS 2 days weekly typically 10a-2p | Consumer primarily needs help with | homemaking and errands, meal prep. | | | | | | Special Considerations | Consumer requests only agencies, Consumer requires assistance with IADLs | | Contact | Rebecca Swisher, Case Manager
Phone: 216-532-8371
| | Complete by | 12/4/2009 |
| Request for Service | | Posted | 11/19/2009 | | County | Lucas | | Request ID | R448dunn | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | DLS 2 days weekly typically 10a-2p | Consumer primarily needs help with | homemaking and errands, meal prep. | | | | | | Special Considerations | Consumer requests only agencies, Consumer requires assistance with IADLs | | Contact | Rebecca Swisher, Case Manager
Phone: 216-532-8371
| | Complete by | 12/4/2009 |
Medina | Request for Service | | Posted | 11/10/2009 | | County | Medina | | Request ID | R45219855 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 7a-12N | 7a-12N | 7a-12N | 7a-12N | 7a-12N | 6p-9p | 11a-1p | | Special Considerations | Consumer has pets, Consumer requires transportation, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Alicia Laffin, Case Manager
Phone: 216-532-2009
| | Complete by | 11/25/2009 |
| Request for Service | | Posted | 11/20/2009 | | County | Medina | | Request ID | R452RS205 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 7a.m. to 3 p.m. and 4p.m. to 8 p.m. | 9a.m to 3 p.m. and 3 p.m to 11 p.m. | 7 a.m. to 3 p.m. and 3 p.m to 11 p.m | 7 p.m. to 3 p.m. and 3 p.m. to 8 p.m. | 9a.m to 3 p.m. and 3 p.m to 11 p.m. | 7a.m. to 3 p.m and 3 p.m. to 11 p.m | 7 a.m. to 3 p.m and 3 p.m. to 11 p.m. | | Special Considerations | Consumer requests only independent providers | | Contact | Michele Hammond, Case Manager
Phone: 216-532-2027
| | Complete by | 12/5/2009 |
| Request for Service | | Posted | 11/20/2009 | | County | Medina | | Request ID | R452RS205 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 7a.m. to 3 p.m. and 4p.m. to 8 p.m. | 9a.m to 3 p.m. and 3 p.m to 11 p.m. | 7 a.m. to 3 p.m. and 3 p.m to 11 p.m | 7 p.m. to 3 p.m. and 3 p.m. to 8 p.m. | 9a.m to 3 p.m. and 3 p.m to 11 p.m. | 7a.m. to 3 p.m and 3 p.m. to 11 p.m | 7 a.m. to 3 p.m and 3 p.m. to 11 p.m. | | Special Considerations | Consumer requests only independent providers | | Contact | Michele Hammond, Case Manager
Phone: 216-532-2027
| | Complete by | 12/5/2009 |
| Request for Service | | Posted | 11/20/2009 | | County | Medina | | Request ID | R45200000 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1003 (LPN/LVN Services), T1002 (RN Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 8p.m. to 11 p.m. | 7 a.m. to 9 a.m. | | 8 p.m .to 11 p.m . | 7 a.m to 9 a.m. | | | | Special Considerations | Consumer requests only independent providers | | Contact | Michele Hammond, Case Manager
Phone: 216-532-2027
| | Complete by | 12/5/2009 |
Ottawa Paulding Sandusky Williams Wood | Request for Service | | Posted | 11/10/2009 | | County | Wood | | Request ID | R48720985 | | Sex | Male | | Age | Young Adult | | Program | Waiver | | Service Codes | G0154 (Skilled Nurse in a Home Health Setting), T1000 (Private Duty/Independent Nursing Service(s)), T1003 (LPN/LVN Services), T1002 (RN Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 4p-11p | 4p-11p | 4p-11p | 4p-11p | 4p-11p | | | | Special Considerations | Consumer requests only independent providers, Consumer requires transportation | | Contact | Brooke Rollins, Case Manager
Phone: 216-532-8383
| | Complete by | 11/25/2009 |
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