1497070122 NPI number — ST. JOSEPH'S HOSPICE, INC.

Table of content: (NPI 1497070122)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497070122 NPI number — ST. JOSEPH'S HOSPICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. JOSEPH'S HOSPICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497070122
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/28/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9380 MCKNIGHT ROAD
Provider Second Line Business Mailing Address:
201 ARCADIA COURT
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15237-5954
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-456-0070
Provider Business Mailing Address Fax Number:
614-456-0071

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
505 S HIGH ST
Provider Second Line Business Practice Location Address:
SUITE #100
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43215-5643
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-456-0070
Provider Business Practice Location Address Fax Number:
412-367-1213
Provider Enumeration Date:
04/06/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NOCITO
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
WILLIAM
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
412-367-7711

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251G00000X , with the licence number: 0192 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)