Organization Active NPI

Hospice of Darke County Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Greenville, OH
National Provider Identifier
1902633209
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
HOSPICE OF DARKE COUNTY INC
Practice address
1350 N Broadway St
Greenville, OH 45331-2461
Phone
(800) 417-7535
Fax
(937) 548-7144
NPI assigned
Sep 19, 2024
Organization subpart
Yes
Parent organization
HOSPICE OF DARKE COUNTY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Jeremy P Bailey
Title
Chief Operating Officer
Phone
(937) 316-0008

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X

Addresses

Primary practice location

1350 N Broadway St
Greenville, OH 45331-2461

Mailing address

1350 N Broadway St
Greenville, OH 45331-2461
Phone (800) 417-7535

Other practice location 1

230 W Main St
Coldwater, OH 45828-1703
Phone (800) 417-7535

Other practice location 2

835 Sweitzer St Fl 3
Greenville, OH 45331-1007
Phone (937) 316-0033

Other identifiers 1

IdentifierTypeStateIssuer
0084606MedicaidOH

Other names 1

  • EverHeart Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080813000665 OH Part B Supplier - Clinic/Group Practice 7618887860 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, OH

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 Darke County Inc

Locations

410 W Votaw St
Portland, IN 47371
Phone (260) 726-3220

1237 W State Road 67
Portland, IN 47371
Phone (260) 726-3220

743 E Washington St
Winchester, IN 47394
Phone (765) 305-1232

230 W Main St
Coldwater, OH 45828
Phone (419) 678-4808

122 Martz St
Greenville, OH 45331
Phone (937) 459-5057

835 Sweitzer St
Fl 4
Greenville, OH 45331

835 Sweitzer St
Fl 3
Greenville, OH 45331
Phone (937) 316-0033

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1902633209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 N BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312461",
            "telephone_number": "800-417-7535",
            "fax_number": "937-548-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312461",
            "telephone_number": "800-417-7535",
            "fax_number": "937-548-7144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 W Main St",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "OH",
            "postal_code": "458281703",
            "country_code": "US",
            "telephone_number": "800-417-7535",
            "fax_number": "937-548-7144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Sweitzer St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311007",
            "country_code": "US",
            "telephone_number": "937-316-0033",
            "fax_number": "937-316-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE OF DARKE COUNTY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPICE OF DARKE COUNTY INC",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "937-316-0008"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal 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": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084606",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EverHeart Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EverHeart Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.