Healthcare Provider Details

I. General information

NPI: 1598740011
Provider Name (Legal Business Name): HOSPICE OF CINCINNATI INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 COOPER RD SUITE 300
CINCINNATI OH
45242-5613
US

IV. Provider business mailing address

4310 COOPER RD STE 300
CINCINNATI OH
45242-5613
US

V. Phone/Fax

Practice location:
  • Phone: 513-891-7700
  • Fax: 513-792-7931
Mailing address:
  • Phone: 513-891-7700
  • Fax: 513-792-7931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number0055HSP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHAEL W CROFTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 513-569-6577