Tri County Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0078HSP Issued in OH

Legal business name

TRI COUNTY HOSPICE

Doing business as

Hospice of Wadsworth-Rittman

Practice address

102 Main St
Suite 304
Wadsworth, OH 44281-1472

Phone

(330) 336-6595

Fax

(330) 335-1505

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Greg Tesniarz

Title

Executive Director

Phone

(330) 336-6595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hospice of Wadsworth-Rittman Doing business as

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790711398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "address_2": "SUITE 304",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811472",
            "telephone_number": "330-336-6595",
            "fax_number": "330-335-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "address_2": "SUITE 304",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811472",
            "telephone_number": "330-336-6595",
            "fax_number": "330-335-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TESNIARZ",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-336-6595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0078HSP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306743",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Wadsworth-Rittman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Community Based Hospice Care Agency in Ohio

• 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.