Organization Active NPI

Hospice Care Ohio

  • Community Based Hospice Care Agency
  • Fairlawn, OH
National Provider Identifier
1043316482
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
950893 Issued in OH
Legal business name
HOSPICE CARE OHIO
Practice address
3358 Ridgewood Rd
Fairlawn, OH 44333-3118
Phone
(330) 665-1455
Fax
(330) 668-4670
NPI assigned
Sep 15, 2006
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH VENTURESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jerry Bauman
Title
VP
Phone
(330) 745-1601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 950893 OH Primary

Addresses

Primary practice location

3358 Ridgewood Rd
Fairlawn, OH 44333-3118

Mailing address

3358 Ridgewood Rd
Fairlawn, OH 44333-3118
Phone (330) 665-1455

Other identifiers 1

IdentifierTypeStateIssuer
0122567MedicaidOH

Other names 1

  • Hospice of Visiting Nurse Service Doing business as

National Provider Directory

National Provider Directory
Part of
Community Health Ventures Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1043316482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3358 RIDGEWOOD RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333118",
            "telephone_number": "330-665-1455",
            "fax_number": "330-668-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3358 RIDGEWOOD RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333118",
            "telephone_number": "330-665-1455",
            "fax_number": "330-668-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE CARE OHIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH VENTURES",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "330-745-1601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "950893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122567",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Visiting Nurse Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.