AVALON HOSPICE OHIO LLC NPI 1316484785

NPI Information

NPI: 1316484785
Provider Name: AVALON HOSPICE OHIO, LLC

Doing Business As: GENTIVA

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

Address:
4010 EXECUTIVE PARK DR STE 225
CINCINNATI, OH
ZIP 45241
Phone: (513) 904-6189
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AVALON HOSPICE OHIO, LLC is a hospice care community based in Cincinnati, OH. AVALON HOSPICE OHIO, LLC NPI is 1316484785. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

4010 EXECUTIVE PARK DR STE 225
CINCINNATI, OH
ZIP 45241-010
Phone: (513) 904-6189
Fax: (513) 898-3681

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 662-1761.

The CLIA number assigned to this NPI record is 36D2128289 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2017 and was last updated on 1/11/2023.

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	0300742	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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