Organization Active NPI

Visiting Nurse Hospice and Health Care

  • Community Based Hospice Care Agency
  • Sylvania, OH
National Provider Identifier
1750376430
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0093-HSP Issued in OH
Legal business name
VISITING NURSE HOSPICE AND HEALTH CARE
Practice address
5855 Monroe St
Sylvania, OH 43560-2270
Phone
(419) 824-7400
Fax
(419) 882-8307
NPI assigned
Sep 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Mr. Martin Allen
Title
Director
Phone
(419) 252-5734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0093-HSP OH Primary

Addresses

Primary practice location

5855 Monroe St
Sylvania, OH 43560-2270

Mailing address

5855 Monroe St
Sylvania, OH 43560-2269
Phone (419) 291-2273

Other identifiers 2

IdentifierTypeStateIssuer
0124994MedicaidOH
0093HSPOtherOHHOSPICE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1718 Indian Wood Cir
Ste A
Maumee, OH 43537
Phone (419) 824-7400

5520 Monroe St
Sylvania, OH 43560
Phone (419) 824-7529

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2023 Change of OwnershipThis provider was the seller Heartland Hospice (Sylvania)CCN 361582, OH, NPI 1598466138

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1750376430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 MONROE ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602269",
            "telephone_number": "419-291-2273",
            "fax_number": "419-885-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 MONROE ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602270",
            "telephone_number": "419-824-7400",
            "fax_number": "419-882-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE HOSPICE AND HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0093-HSP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124994",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPICE LICENSE",
            "identifier": "0093HSP",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.