Provider Demographics
NPI:1386178341
Name:NORTHEAST OHIO HOSPICE, INC.
Entity Type:Organization
Organization Name:NORTHEAST OHIO HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRPERSON
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:QUICK
Authorized Official - Last Name:SALOPECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-581-2900
Mailing Address - Street 1:10204 GRANGER RD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-3106
Mailing Address - Country:US
Mailing Address - Phone:216-472-2684
Mailing Address - Fax:216-472-2686
Practice Address - Street 1:10204 GRANGER RD
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-3106
Practice Address - Country:US
Practice Address - Phone:216-472-2684
Practice Address - Fax:216-472-2686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0243HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based