NPIMap

Organization Active NPI

Hospice of Northwest Ohio

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Perrysburg, OH
National Provider Identifier
1174859508
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
HOSPICE OF NORTHWEST OHIO
Practice address
30000 E River Rd
Perrysburg, OH 43551-3429
Phone
(419) 661-4001
Fax
(419) 661-4015
NPI assigned
Oct 20, 2009
Organization subpart
Yes
Parent organization
HOSPICE OF NORTHWEST OHIOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Richard Earl Russell
Title
Ceo
Phone
(419) 494-2154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

30000 E River Rd
Perrysburg, OH 43551-3429

Mailing address

30000 E River Rd
Perrysburg, OH 43551-3429
Phone (419) 661-4001

Other identifiers 1

IdentifierTypeStateIssuer
0071010MedicaidOH

Other names 1

  • Sincera Palliative Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070817000186 OH Part B Supplier - Clinic/Group Practice 8527150721 Receives reassigned benefits from 36 practitioners
1 other NPI on this enrollment
Practice locations: Perrysburg, OH
O20110815000414 MI Part B Supplier - Clinic/Group Practice 8527150721 Receives reassigned benefits from 22 practitioners
Practice locations: Lambertville, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Hospice of Northwest Ohio

Locations

5340 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-8840

800 S Detroit Ave
Toledo, OH 43609
Phone (419) 661-4001

725 S Shoop Ave
Ste G103
Wauseon, OH 43567
Phone (419) 661-4001

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.

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1174859508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 E RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513429",
            "telephone_number": "419-661-4001",
            "fax_number": "419-661-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30000 E RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513429",
            "telephone_number": "419-661-4001",
            "fax_number": "419-661-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF NORTHWEST OHIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPICE OF NORTHWEST OHIO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-494-2154"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071010",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sincera Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.