Provider Demographics
NPI:1154751428
Name:CLEARPATH HOSPICE LLC
Entity type:Organization
Organization Name:CLEARPATH HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANCIANESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-784-2162
Mailing Address - Street 1:475 WOLF LEDGES PKWY
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1049
Mailing Address - Country:US
Mailing Address - Phone:330-784-2162
Mailing Address - Fax:330-784-2197
Practice Address - Street 1:475 WOLF LEDGES PKWY
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1049
Practice Address - Country:US
Practice Address - Phone:330-784-2162
Practice Address - Fax:330-784-2197
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLEARPATH HOMEHEALTH AND HOSPICE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-22
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0000000251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH361685Medicare Oscar/Certification