Healthcare Provider Details

I. General information

NPI: 1518962828
Provider Name (Legal Business Name): HOSPICE OF GUERNSEY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9711 E PIKE RD
CAMBRIDGE OH
43725-8936
US

IV. Provider business mailing address

PO BOX 1165
CAMBRIDGE OH
43725-6165
US

V. Phone/Fax

Practice location:
  • Phone: 740-432-7440
  • Fax: 740-432-7424
Mailing address:
  • Phone: 740-432-7440
  • Fax: 740-432-7424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2086H0002X
TaxonomyHospice and Palliative Medicine (Surgery) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number0019HSP
License Number StateOH

VIII. Authorized Official

Name: LORRAINE TEAGUE
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 740-432-7440