Provider Demographics
NPI:1497070122
Name:ST. JOSEPH'S HOSPICE, INC.
Entity Type:Organization
Organization Name:ST. JOSEPH'S HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:NOCITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-367-7711
Mailing Address - Street 1:9380 MCKNIGHT ROAD
Mailing Address - Street 2:201 ARCADIA COURT
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5954
Mailing Address - Country:US
Mailing Address - Phone:614-456-0070
Mailing Address - Fax:614-456-0071
Practice Address - Street 1:505 S HIGH ST
Practice Address - Street 2:SUITE #100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5643
Practice Address - Country:US
Practice Address - Phone:614-456-0070
Practice Address - Fax:412-367-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251G00000X
OH0192251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH361663Medicare Oscar/Certification