HOSPICE OF MEDINA COUNTY NPI 1023053428

NPI Information

NPI: 1023053428
Provider Name: HOSPICE OF MEDINA COUNTY
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 36D0920398

Address:
5075 WINDFALL RD
MEDINA, OH
ZIP 44256
Phone: (330) 722-4771
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HOSPICE OF MEDINA COUNTY is a hospice care community based in Medina, OH. HOSPICE OF MEDINA COUNTY NPI is 1023053428. The provider is registered as an organization entity type.

The provider's business location address is:

5075 WINDFALL RD
MEDINA, OH
ZIP 44256-613
Phone: (330) 722-4771
Fax: (330) 722-5266

The provider's authorized official is Helen Kerr .
The authorized official title is Interim Executive Director and has the following contact phone number (330) 722-4771.

The CLIA number assigned to this NPI record is 36D0920398 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 5/1/2014.

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		0010-HSP	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	0820366	MEDICAID	OHIO
2	361539	MEDICARE OSCAR/CERTIFICATION

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: 11/14/2023

NPI Synchronization or Removal

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