Provider Demographics
NPI:1013242551
Name:COMMUNITY HOSPICE, INC.
Entity Type:Organization
Organization Name:COMMUNITY HOSPICE, INC.
Other - Org Name:COMMUNITY HOSPICE OF SOUTHERN OHIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-329-1890
Mailing Address - Street 1:1480 CARTER AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7546
Mailing Address - Country:US
Mailing Address - Phone:606-329-1890
Mailing Address - Fax:606-329-0018
Practice Address - Street 1:2029 S 3RD ST
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-2476
Practice Address - Country:US
Practice Address - Phone:740-532-8841
Practice Address - Fax:740-532-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0041HSP251G00000X, 315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient