Provider Demographics
NPI:1346405370
Name:VIAQUEST HOSPICE LLC
Entity Type:Organization
Organization Name:VIAQUEST HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF TREASURY AND REIMBURSEM
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARTWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-339-0814
Mailing Address - Street 1:525 METRO PL N
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-5342
Mailing Address - Country:US
Mailing Address - Phone:800-645-3267
Mailing Address - Fax:
Practice Address - Street 1:610 PARK AVE
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-1814
Practice Address - Country:US
Practice Address - Phone:724-864-8614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH361660Medicare Oscar/Certification
PA391707Medicare Oscar/Certification
OH361661Medicare Oscar/Certification
OH361659Medicare Oscar/Certification