Provider Demographics
NPI:1598740011
Name:HOSPICE OF CINCINNATI INCORPORATED
Entity Type:Organization
Organization Name:HOSPICE OF CINCINNATI INCORPORATED
Other - Org Name:HOSPICE OF CINCINNATI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-891-7700
Mailing Address - Street 1:4310 COOPER RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5613
Mailing Address - Country:US
Mailing Address - Phone:513-891-7700
Mailing Address - Fax:513-792-7931
Practice Address - Street 1:4310 COOPER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5613
Practice Address - Country:US
Practice Address - Phone:513-891-7700
Practice Address - Fax:513-792-7931
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETHESDA HOSPITAL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-07
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RH0002X
OH0055HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0820311Medicaid
OH361531Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER