Provider Demographics
NPI:1346220142
Name:THE HOSPICE OF DAYTON, INC.
Entity Type:Organization
Organization Name:THE HOSPICE OF DAYTON, INC.
Other - Org Name:HOSPICE OF DAYTON, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VP OF CLINICAL CARE
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-414-3563
Mailing Address - Street 1:324 WILMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45420-1890
Mailing Address - Country:US
Mailing Address - Phone:937-256-4490
Mailing Address - Fax:937-258-5516
Practice Address - Street 1:324 WILMINGTON AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45420-1890
Practice Address - Country:US
Practice Address - Phone:937-256-4490
Practice Address - Fax:937-258-5516
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OHIOS HOSPICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-18
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0004-HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0820080Medicaid
OH361501Medicare Oscar/Certification