Provider Demographics
NPI:1164400529
Name:HOSPICE OF DARKE COUNTY INC
Entity Type:Organization
Organization Name:HOSPICE OF DARKE COUNTY INC
Other - Org Name:EVERHEART HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STRAWSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-417-7535
Mailing Address - Street 1:1350 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-2461
Mailing Address - Country:US
Mailing Address - Phone:800-417-7535
Mailing Address - Fax:844-905-1347
Practice Address - Street 1:1350 N BROADWAY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331
Practice Address - Country:US
Practice Address - Phone:937-548-2999
Practice Address - Fax:937-548-7144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-05
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0005HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0820017Medicaid
000000002718OtherBLUE CROSS
OH361529Medicare ID - Type Unspecified