Provider Demographics
NPI:1730667239
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 SE OHIO
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 1:47445 NATIONAL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-8804
Mailing Address - Country:US
Mailing Address - Phone:740-635-0045
Mailing Address - Fax:740-635-0470
Practice Address - Street 1:47445 NATIONAL RD STE 101
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-8804
Practice Address - Country:US
Practice Address - Phone:740-635-0045
Practice Address - Fax:740-635-0470
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