Provider Demographics
NPI:1881217271
Name:SPIRIT HOSPICE LLC
Entity Type:Organization
Organization Name:SPIRIT HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAJJAD
Authorized Official - Middle Name:ASHRAF
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:513-772-0575
Mailing Address - Street 1:8849 BROOKSIDE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-7114
Mailing Address - Country:US
Mailing Address - Phone:513-772-0575
Mailing Address - Fax:513-772-0117
Practice Address - Street 1:8849 BROOKSIDE AVE STE 101
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-7114
Practice Address - Country:US
Practice Address - Phone:513-772-0575
Practice Address - Fax:513-772-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based