Provider Demographics
NPI:1962498675
Name:HOSPICE OF MIAMI COUNTY, INC.
Entity type:Organization
Organization Name:HOSPICE OF MIAMI COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE REGIONAL VP
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-815-2848
Mailing Address - Street 1:550 SUMMIT AVE STE 101
Mailing Address - Street 2:P. O. BOX 502
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-3065
Mailing Address - Country:US
Mailing Address - Phone:937-335-5191
Mailing Address - Fax:937-335-8841
Practice Address - Street 1:3230 N COUNTY ROAD 25A
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-1338
Practice Address - Country:US
Practice Address - Phone:937-335-5191
Practice Address - Fax:937-335-8841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0021-HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0820428Medicaid
OH0820428Medicaid