Organization Active NPI

Hospice of Morrow County Inc.

  • Community Based Hospice Care Agency
  • Mount Gilead, OH
National Provider Identifier
1740260751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0062HSP Issued in OH
Legal business name
HOSPICE OF MORROW COUNTY INC.
Practice address
228 South St
Mount Gilead, OH 43338-1450
Phone
(419) 946-9822
Fax
(419) 946-9971
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cherry Miracle, LSW
Title
Executive Director
Phone
(419) 946-9822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0062HSP OH Primary

Addresses

Primary practice location

228 South St
Mount Gilead, OH 43338-1450

Mailing address

228 South St
Mount Gilead, OH 43338-1450
Phone (419) 946-9822

Other identifiers 3

IdentifierTypeStateIssuer
000000232631OtherOHANTHEM BLUECROSS/B.SHIELD
V552P-5758OtherOHDEPT OF VET AFFAIRS
0948087MedicaidOH

National Provider Directory

National Provider Directory

Locations

228 South St
Mount Gilead, OH 43338
Phone (419) 946-9822

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740260751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 SOUTH ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381450",
            "telephone_number": "419-946-9822",
            "fax_number": "419-946-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 SOUTH ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381450",
            "telephone_number": "419-946-9822",
            "fax_number": "419-946-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF MORROW COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRACLE",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-946-9822",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0062HSP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS/B.SHIELD",
            "identifier": "000000232631",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF VET AFFAIRS",
            "identifier": "V552P-5758",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0948087",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.