Healthcare Provider Details

I. General information

NPI: 1164400529
Provider Name (Legal Business Name): HOSPICE OF DARKE COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 03/09/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 N BROADWAY
GREENVILLE OH
45331
US

IV. Provider business mailing address

1350 N BROADWAY ST
GREENVILLE OH
45331-2461
US

V. Phone/Fax

Practice location:
  • Phone: 937-548-2999
  • Fax: 937-548-7144
Mailing address:
  • Phone: 800-417-7535
  • Fax: 844-905-1347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number0005HSP
License Number StateOH

VIII. Authorized Official

Name: MRS. KRISTI MARIE STRAWSER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 800-417-7535