Healthcare Provider Details

I. General information

NPI: 1194416958
Provider Name (Legal Business Name): OHC OF NC OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28315 KENSINGTON LN
PERRYSBURG OH
43551-4164
US

IV. Provider business mailing address

28276 KENSINGTON LN
PERRYSBURG OH
43551-4178
US

V. Phone/Fax

Practice location:
  • Phone: 419-843-4422
  • Fax: 419-843-4442
Mailing address:
  • Phone: 419-843-4422
  • Fax: 419-843-4442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JOSH A ADAMS
Title or Position: CEO
Credential:
Phone: 419-843-4422