=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548684053
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INTERIM HEALTHCARE HOSPICE OF OHIO INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/05/2014
-----------------------------------------------------
Last Update Date | 04/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2806 BELL ST
-----------------------------------------------------
City | ZANESVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43701-1721
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-453-1173
-----------------------------------------------------
Fax | 740-487-1189
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2806 BELL ST
-----------------------------------------------------
City | ZANESVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43701-1721
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-623-2331
-----------------------------------------------------
Fax | 740-623-2956
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | MR. THOMAS J DIMARCO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 614-436-9404
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number | APPLIED FOR
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------