Provider Demographics
NPI:1326000928
Name:HOSPICE OF NORTH CENTRAL OHIO INC
Entity Type:Organization
Organization Name:HOSPICE OF NORTH CENTRAL OHIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
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:419-281-2166
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0008HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0820142Medicaid
OH0820142Medicaid