Organization · NPI-2

Avalon Hospice Ohio, LLC

Hospice Care, Community Based · Cincinnati, OH

NPI number1316484785
StatusActive
Last updated in NPPESJan 11, 2023

Details

NPI
1316484785
Entity type
Organization (NPI-2)
Legal business name
Avalon Hospice Ohio, LLC
Organization subpart
No
Enumeration date
Jan 24, 2017
Certification date
Oct 5, 2022
Last updated
Jan 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251G00000X Hospice Care, Community Based––Yes

Other names

  • Gentiva (Doing Business As)

Practice location

4010 Executive Park Dr Ste 225
Cincinnati, OH 45241-4010

Phone 513-904-6189 · Fax 513-898-3681

Mailing address

Po Box 4060
Mooresville, NC 28117-4060

Phone 704-664-2876 · Fax 704-664-1306

Authorized official

Janet Combs
Vp Of Licensure
7046621761

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