Healthcare Provider Details

I. General information

NPI: 1215910021
Provider Name (Legal Business Name): VISITING NURSE AND HOSPICE OF NE OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2005
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 BELMONT AVE SUITE 7
YOUNGSTOWN OH
44505-1400
US

IV. Provider business mailing address

3530 BELMONT AVE SUITE 7
YOUNGSTOWN OH
44505-1400
US

V. Phone/Fax

Practice location:
  • Phone: 330-884-2500
  • Fax: 330-884-2550
Mailing address:
  • Phone: 330-884-2500
  • Fax: 330-884-2550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number0073-HSP
License Number StateOH

VIII. Authorized Official

Name: MRS. DAWN MARIE DOMINIC
Title or Position: CORPORATE DIRECTOR
Credential: RN, BSN
Phone: 330-884-2500