Healthcare Provider Details

I. General information

NPI: 1750376430
Provider Name (Legal Business Name): VISITING NURSE HOSPICE AND HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 MONROE ST
SYLVANIA OH
43560-2270
US

IV. Provider business mailing address

5855 MONROE ST
SYLVANIA OH
43560-2269
US

V. Phone/Fax

Practice location:
  • Phone: 419-824-7400
  • Fax: 419-882-8307
Mailing address:
  • Phone: 419-291-2273
  • Fax: 419-885-9136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number0093-HSP
License Number StateOH

VIII. Authorized Official

Name: MR. MARTIN ALLEN
Title or Position: DIRECTOR
Credential:
Phone: 419-252-5734