Healthcare Provider Details

I. General information

NPI: 1417227208
Provider Name (Legal Business Name): ELMWOOD HOME HEALTH & HOSPICE, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2012
Last Update Date: 01/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 N BROADWAY ST
GREEN SPRINGS OH
44836-9601
US

IV. Provider business mailing address

430 N BROADWAY ST
GREEN SPRINGS OH
44836-9601
US

V. Phone/Fax

Practice location:
  • Phone: 419-639-2581
  • Fax: 419-639-2519
Mailing address:
  • Phone: 419-639-2581
  • Fax: 419-639-2519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHY K HUNT
Title or Position: MANAGING MEMBER
Credential: LNHA
Phone: 419-639-2581