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HOSPICE OF THE WESTERN RESERVE INC NPI 1811163009


NPI Information

NPI: 1811163009
Provider Name: HOSPICE OF THE WESTERN RESERVE INC
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Organization

CLIA Number: 36D0721453

Address:
17876 SAINT CLAIR AVE
CLEVELAND, OH
ZIP 44110
Phone: (216) 383-2222
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HOSPICE OF THE WESTERN RESERVE INC is a clinical nurse specialist in Cleveland, OH. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. HOSPICE OF THE WESTERN RESERVE INC NPI is 1811163009. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17876 SAINT CLAIR AVE
CLEVELAND, OH
ZIP 44110-602
Phone: (216) 383-2222
Fax: (216) 298-0400

The provider's authorized official is William E. Finn .
The authorized official title is Chief Executive Officer and has the following contact phone number (216) 383-2222.

The CLIA number assigned to this NPI record is 36D0721453 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 2/6/2024.


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
1363L00000XNurse PractitionerNo
2364S00000XClinical Nurse SpecialistYes

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
19321651OTHEROHIOMEDICARE PTAN
22619698MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.