Provider Demographics
NPI:1295026995
Name:HOSPICE OF NORTH CENTRAL OHIO, INC
Entity Type:Organization
Organization Name:HOSPICE OF NORTH CENTRAL OHIO, INC
Other - Org Name:LIFE'S SEASONS PALLIATIVE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:GIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-281-7107
Mailing Address - Street 1:1021 DAUCH DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-8845
Mailing Address - Country:US
Mailing Address - Phone:419-281-7107
Mailing Address - Fax:419-289-4880
Practice Address - Street 1:1021 DAUCH DR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-8845
Practice Address - Country:US
Practice Address - Phone:419-281-7107
Practice Address - Fax:419-289-4880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.044505207R00000X
OHNP28271363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty