Provider Demographics
NPI:1508937475
Name:CHARITY HOSPICE, INC.
Entity Type:Organization
Organization Name:CHARITY HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CICH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:740-264-2280
Mailing Address - Street 1:500 LURAY DR
Mailing Address - Street 2:PO BOX 2483
Mailing Address - City:WINTERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-3972
Mailing Address - Country:US
Mailing Address - Phone:740-264-2280
Mailing Address - Fax:740-264-2290
Practice Address - Street 1:500 LURAY DR
Practice Address - Street 2:
Practice Address - City:WINTERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-3972
Practice Address - Country:US
Practice Address - Phone:740-264-2280
Practice Address - Fax:740-264-2290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0148HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0148HSPOtherHOSPICE LICENSURE
OH0148HSPOtherHOSPICE LICENSURE