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NPI Code Detail

MEDICARE: HOSPICE OF THE WESTERN RESERVE, INC.

MEDICARE: HOSPICE OF THE WESTERN RESERVE, 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
1363L00000XNurse Practitioner
2364S00000XClinical Nurse Specialist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19321651OTHEROHMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811163009
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF THE WESTERN RESERVE, INC.
Provider Business Mailing Address
First Line : 17876 SAINT CLAIR AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44110-2602
Country : US
Telephone Number : 216-383-3738
Fax Number :
Provider Business Practice Location Address
First Line : 17876 SAINT CLAIR AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44110-2602
Country : US
Telephone Number : 216-383-2222
Fax Number : 216-298-0400
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. WILLIAM E. FINN
Credential :
Telephone Number : 216-383-2222
Provider Enumeration Date : 05/07/2008
Last Update Date : 12/16/2025

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