Provider Demographics
NPI:1134322878
Name:HOSPICE ALLIANCE OF OHIO
Entity Type:Organization
Organization Name:HOSPICE ALLIANCE OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:KEMPER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:937-374-0733
Mailing Address - Street 1:2259 FAUBER RD
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-9336
Mailing Address - Country:US
Mailing Address - Phone:937-374-0733
Mailing Address - Fax:937-376-0128
Practice Address - Street 1:2259 FAUBER RD
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-9336
Practice Address - Country:US
Practice Address - Phone:937-374-0733
Practice Address - Fax:937-376-0128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based