Healthcare Provider Details

I. General information

NPI: 1811163009
Provider Name (Legal Business Name): HOSPICE OF THE WESTERN RESERVE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17876 SAINT CLAIR AVE
CLEVELAND OH
44110-2602
US

IV. Provider business mailing address

17876 SAINT CLAIR AVE
CLEVELAND OH
44110-2602
US

V. Phone/Fax

Practice location:
  • Phone: 216-383-2222
  • Fax: 216-298-0400
Mailing address:
  • Phone: 216-383-3738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM E. FINN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 216-383-2222