=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093871196
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OHIO HOSPICE AND PALLIATIVE CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/31/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 KNOEDLER RD
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15236-2747
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-969-1020
-----------------------------------------------------
Fax | 724-969-1050
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3025 WASHINGTON RD SUITE 201
-----------------------------------------------------
City | MCMURRAY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15317-3246
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-969-1020
-----------------------------------------------------
Fax | 724-969-1050
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. JAMES JAY COX
-----------------------------------------------------
Credential | MBA
-----------------------------------------------------
Telephone | 724-969-1020
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------