Provider Demographics
NPI:1972211290
Name:REMEMBRANCE HOSPICE LLC
Entity Type:Organization
Organization Name:REMEMBRANCE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OPERATIONS ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-416-7307
Mailing Address - Street 1:3725 MEDINA RD STE 113
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-5301
Mailing Address - Country:US
Mailing Address - Phone:330-952-1930
Mailing Address - Fax:
Practice Address - Street 1:3725 MEDINA RD STE 113
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5301
Practice Address - Country:US
Practice Address - Phone:330-952-1930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based