Healthcare Provider Details
I. General information
NPI: 1841351608
Provider Name (Legal Business Name): OP HOSPICE-OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/13/2006
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1530 WEST MARKET STREET
AKRON OH
44313
US
IV. Provider business mailing address
3010 LYNDON B JOHNSON FWY STE 1100
DALLAS TX
75234-2712
US
V. Phone/Fax
- Phone: 330-864-5700
- Fax: 330-864-5717
- Phone: 800-379-1600
- Fax: 903-537-8420
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 315D00000X |
| Taxonomy | Inpatient Hospice |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATIE
MONASTIERE
Title or Position: COMPLIANCE PRIVACY & SAFETY OFFICER
Credential:
Phone: 800-379-1600