Provider Demographics
NPI:1629320270
Name:SPRENGER HOSPICE, INC.
Entity Type:Organization
Organization Name:SPRENGER HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRENGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-989-5200
Mailing Address - Street 1:2610 E AURORA RD
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2150
Mailing Address - Country:US
Mailing Address - Phone:330-963-3600
Mailing Address - Fax:330-487-0268
Practice Address - Street 1:2610 E AURORA RD
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2150
Practice Address - Country:US
Practice Address - Phone:330-963-3600
Practice Address - Fax:330-487-0268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-06
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH361674Medicare Oscar/Certification