MEDICARE: MEDCENTRAL HOMECARE AND HOSPICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1033153119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDCENTRAL HOMECARE AND HOSPICE

Provider Business Mailing Address
First Line	:	335 GLESSNER AVE
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44903-2269
Country	:	US
Telephone Number	:	419-526-8442
Fax Number	:	419-756-2298

Provider Business Practice Location Address
First Line	:	1020 CRICKET LN
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44906-4104
Country	:	US
Telephone Number	:	419-526-8442
Fax Number	:	419-756-2298

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. MARTE D ALSLEBEN
Credential	:	RN, JD
Telephone Number	:	419-526-8442

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	08/22/2020

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