Provider Demographics
NPI:1689638710
Name:WEXCO SENIOR SERVICES INC.
Entity Type:Organization
Organization Name:WEXCO SENIOR SERVICES INC.
Other - Org Name:ZUSMAN COMMUNITY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT VP COMMUNITY SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:NISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LISW
Authorized Official - Phone:614-231-4900
Mailing Address - Street 1:1151 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2827
Mailing Address - Country:US
Mailing Address - Phone:614-231-4900
Mailing Address - Fax:614-338-2399
Practice Address - Street 1:1151 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2827
Practice Address - Country:US
Practice Address - Phone:614-231-4900
Practice Address - Fax:614-338-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0132-HSP251G00000X, 315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2366872Medicaid
OH2366872Medicaid