Provider Demographics
NPI:1609292978
Name:VIAQUEST HOSPICE OF INDIANA, LLV
Entity Type:Organization
Organization Name:VIAQUEST HOSPICE OF INDIANA, LLV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF TREASURY/REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARTWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-339-0814
Mailing Address - Street 1:525 METRO PL N STE 300
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-5320
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5 N 10TH ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47901-1595
Practice Address - Country:US
Practice Address - Phone:812-473-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based