MEDICARE: HOSPICE OF SOUTHWEST OHIO, INC.

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	315D00000X	Inpatient Hospice
2	251G00000X	Community Based Hospice Care Agency	0150HSP	OH

General Provider Information

NPI Number	:	1043295611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE OF SOUTHWEST OHIO, INC.

Provider Business Mailing Address
First Line	:	7625 CAMARGO RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-3107
Country	:	US
Telephone Number	:	513-770-0820
Fax Number	:	513-770-0848

Provider Business Practice Location Address
First Line	:	7625 CAMARGO RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-3107
Country	:	US
Telephone Number	:	513-770-0820
Fax Number	:	513-770-0848

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. MICHAEL HAWS
Credential	:
Telephone Number	:	513-770-0820

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	04/11/2019

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