Provider Demographics
NPI:1265971410
Name:INTERIM HEALTHCARE HOSPICE OF OHIO INC
Entity type:Organization
Organization Name:INTERIM HEALTHCARE HOSPICE OF OHIO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
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 1:3745 SHAWNEE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45806-1665
Mailing Address - Country:US
Mailing Address - Phone:419-228-2535
Mailing Address - Fax:419-227-9244
Practice Address - Street 1:3745 SHAWNEE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45806-1665
Practice Address - Country:US
Practice Address - Phone:419-228-2535
Practice Address - Fax:419-227-9244
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERIM HEALTHCARE HOSPICE OF OHIO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-21
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based