LIFECARE HOSPICE NPI 1477540284

NPI Information

NPI: 1477540284
Provider Name: LIFECARE HOSPICE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 36D0901157

Address:
1900 AKRON RD
WOOSTER, OH
ZIP 44691
Phone: (330) 264-4899
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LIFECARE HOSPICE is a hospice care community based in Wooster, OH. LIFECARE HOSPICE NPI is 1477540284. The provider is registered as an organization entity type.

The provider's business location address is:

1900 AKRON RD
WOOSTER, OH
ZIP 44691-518
Phone: (330) 264-4899
Fax: (330) 264-4874

The provider's authorized official is Kurt Holmes .
The authorized official title is Executive Director and has the following contact phone number (330) 264-4899.

The CLIA number assigned to this NPI record is 36D0901157 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 1/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		0033HSP	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0795448	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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