Provider Demographics
NPI:1427763721
Name:CORSOCARE HOSPICE OF OHIO LLC
Entity type:Organization
Organization Name:CORSOCARE HOSPICE OF OHIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:APPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-302-0899
Mailing Address - Street 1:950 CORPORATE OFFICE DR STE 150
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-5004
Mailing Address - Country:US
Mailing Address - Phone:248-438-1507
Mailing Address - Fax:
Practice Address - Street 1:8230 PITTSBURG AVE NW STE 1440
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-5619
Practice Address - Country:US
Practice Address - Phone:866-257-9773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based