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HOSPICE CARE OHIO NPI 1043316482


NPI Information

NPI: 1043316482
Provider Name: HOSPICE CARE OHIO

Doing Business As: HOSPICE OF VISITING NURSE SERVICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 36D0341078

Address:
3358 RIDGEWOOD RD
FAIRLAWN, OH
ZIP 44333
Phone: (330) 665-1455
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HOSPICE CARE OHIO is a hospice care community based in Fairlawn, OH. HOSPICE CARE OHIO NPI is 1043316482. The provider is registered as an organization entity type.
The provider Is Doing Business As Hospice Of Visiting Nurse Service.

The provider's business location address is:

3358 RIDGEWOOD RD
FAIRLAWN, OH
ZIP 44333-118
Phone: (330) 665-1455
Fax: (330) 668-4670

The provider's authorized official is Jerry Bauman .
The authorized official title is Vp and has the following contact phone number (330) 745-1601.

The CLIA number assigned to this NPI record is 36D0341078 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 7/20/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based950893OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10122567MEDICAIDOHIO
2367601MEDICARE ID-TYPE UNSPECIFIEDOHIOHOME HEALTH HOSPICE

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

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