QUEEN CITY HOSPICE LLC NPI 1437432929

NPI Information

NPI: 1437432929
Provider Name: QUEEN CITY HOSPICE, LLC

Doing Business As: QUEEN CITY HOSPICE AND PALLIATIVE CARE

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

CLIA Number: 36D2031501

Address:
4605 DUKE DR STE 220
MASON, OH
ZIP 45040
Phone: (513) 510-4406
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QUEEN CITY HOSPICE, LLC is a hospice care community based in Mason, OH. QUEEN CITY HOSPICE, LLC NPI is 1437432929. The provider is registered as an organization entity type.
The provider Is Doing Business As Queen City Hospice And Palliative Care.

The provider's business location address is:

4605 DUKE DR STE 220
MASON, OH
ZIP 45040-553
Phone: (513) 510-4406
Fax: (513) 672-0486

The provider's authorized official is Norma English .
The authorized official title is Vp Of Hospice and has the following contact phone number (205) 533-7216.

The CLIA number assigned to this NPI record is 36D2031501 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2011 and was last updated on 12/13/2021.

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		0206HSP	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	0206HSP	OTHER	OHIO	STATE HOSPICE LICENSE

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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