Provider Demographics
NPI:1750376430
Name:VISITING NURSE HOSPICE AND HEALTH CARE
Entity type:Organization
Organization Name:VISITING NURSE HOSPICE AND HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-252-5734
Mailing Address - Street 1:5855 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2269
Mailing Address - Country:US
Mailing Address - Phone:419-291-2273
Mailing Address - Fax:419-885-9136
Practice Address - Street 1:5855 MONROE ST
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2270
Practice Address - Country:US
Practice Address - Phone:419-824-7400
Practice Address - Fax:419-882-8307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0093-HSP251G00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0124994Medicaid
OH0093HSPOtherHOSPICE LICENSE
MI141090OtherCARE CHOICES
MI141090OtherTRINITY HEALTH PLANS
MI3128851Medicaid
OH0372663Medicaid
OH0124994Medicaid
MI3128851Medicaid
MI141090OtherCARE CHOICES