Provider Demographics
NPI:1558849042
Name:INTERIM HEALTHCARE HOSPICE OF OHIO INC
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE HOSPICE OF OHIO INC
Other - Org Name:INTERIM HEALTHCARE HOSPICE OF TOLEDO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:DIMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-436-9404
Mailing Address - Street 1:3745 SHAWNEE RD STE 108
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45806-1665
Mailing Address - Country:US
Mailing Address - Phone:419-228-2535
Mailing Address - Fax:419-227-9244
Practice Address - Street 1:3100 W CENTRAL AVE STE 250
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-2957
Practice Address - Country:US
Practice Address - Phone:619-548-4698
Practice Address - Fax:419-578-4925
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERIM HEALTHCARE HOSPICE OF OHIO, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based