MEDICARE: INTERIM HEALTHCARE HOSPICE OF OHIO, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1740814334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERIM HEALTHCARE HOSPICE OF OHIO, INC.

Provider Business Mailing Address
First Line	:	5211 WAYNETOWNE CT STE C
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-2124
Country	:	US
Telephone Number	:	937-963-9603
Fax Number	:

Provider Business Practice Location Address
First Line	:	5211 WAYNETOWNE CT STE C
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-2124
Country	:	US
Telephone Number	:	937-963-9603
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	THOMAS J DIMARCO
Credential	:
Telephone Number	:	614-436-9404

Provider Enumeration Date	:	02/24/2020
Last Update Date	:	12/08/2025

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