Healthcare Provider Details

I. General information

NPI: 1689638710
Provider Name (Legal Business Name): WEXCO SENIOR SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 11/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 COLLEGE AVE
COLUMBUS OH
43209-2827
US

IV. Provider business mailing address

1151 COLLEGE AVE
COLUMBUS OH
43209-2827
US

V. Phone/Fax

Practice location:
  • Phone: 614-231-4900
  • Fax: 614-338-2399
Mailing address:
  • Phone: 614-231-4900
  • Fax: 614-338-2399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number0132-HSP
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number0132-HSP
License Number StateOH

VIII. Authorized Official

Name: MS. NISHA HAMMEL
Title or Position: ASSISTANT VP COMMUNITY SERVICES
Credential: MSW, LISW
Phone: 614-231-4900