NATIONAL CHURCH RESIDENCES AT HOME HOSPICE NPI 1285730325

NPI Information

NPI: 1285730325
Provider Name: NATIONAL CHURCH RESIDENCES AT HOME HOSPICE

Doing Business As: NATLCHRCHRESIDENCES HOME AND COMMUNITY SERVICES SOUTHERN OHIO HOSPICE

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

Address:
681 E 3RD ST
WAVERLY, OH
ZIP 45690
Phone: (740) 947-3010
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NATIONAL CHURCH RESIDENCES AT HOME HOSPICE is a hospice care community based in Waverly, OH. NATIONAL CHURCH RESIDENCES AT HOME HOSPICE NPI is 1285730325. The provider is registered as an organization entity type.
The provider Is Doing Business As Natlchrchresidences Home And Community Services Southern Ohio Hospice.

The provider's business location address is:

681 E 3RD ST
WAVERLY, OH
ZIP 45690
Phone: (740) 947-3010
Fax: (740) 947-3510

The provider's authorized official is Susan Dimickele .
The authorized official title is President and has the following contact phone number (614) 451-2151.

The CLIA number assigned to this NPI record is 36D0722585 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 9/1/2021.

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				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	2658691	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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