QUEEN CITY HOSPICE, LLC (NPI# 1437432929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437432929 |
| Entity Type | Organization |
| Organization Name | QUEEN CITY HOSPICE, LLC |
| Other Organization Name | QUEEN CITY HOSPICE AND PALLIATIVE CARE |
| Practice Address |
4605 Duke Dr Ste 220 Mason OH 45040-1553 |
| Practice Telephone | 5135104406 |
| Practice Fax Number | 5136720486 |
| Mailing Telephone | 5135104406 |
| Mailing Fax Number | 5136720486 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | JAMES VANNELLE (PRESIDENT) |
| Authorized Official Telephone | 6144419300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 0206HSP | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE HOSPICE LICENSE | 0206HSP | 01 |
| Other Name | Type Code |
|---|---|
| Queen City Hospice and Palliative Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8039 Washington Village Dr Ste 110, Dayton, OH 454581886 | 9374045490 | 9377547031 |
| 2800 Corporate Exchange Dr Ste 170, Columbus, OH 432317628 | 6144419300 | 6147696563 |
| Street Address |
4605 DUKE DR STE 220 |
| City | MASON |
| State | OH |
| Zip Code | 45040-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053780221 | Jodi Yee | Nurse Practitioner | 4605 Duke Dr Ste 220, Mason, OH 45040-1553 | 2015-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720031883 | Heartland Hospice Services LLC | Hospice Care, Community Based | 865 S Cedar St, Mason, MI 48854-2064 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121743 | Parrish Palliative and Hospice Care of Ohio, LLC | Hospice Care, Community Based | 2232 Centennial Rd, Sylvania Township, OH 43617-1870 | 2020-10-15 |
| 1629693742 | Kind Hearts Hospice LLC | Hospice Care, Community Based | 4303 Talmadge Rd Ste 202, Toledo, OH 43623-3519 | 2020-06-15 |
| 1528682150 | Homestead Hospice of Ohio, LLC | Hospice Care, Community Based | 577 Grant St Ste B, Akron, OH 44311-1535 | 2020-05-29 |
| 1356964282 | Pure Angels, LLC | Hospice Care, Community Based | 4770 Indianola Ave Ste 101b, Columbus, OH 43214-1876 | 2020-05-27 |
| 1841824430 | Interim Healthcare Hospice of Ohio, Inc. | Hospice Care, Community Based | 784 Morrison Rd Ste B, Gahanna, OH 43230-6642 | 2020-02-24 |
| 1740814334 | Interim Healthcare Hospice of Ohio, Inc. | Hospice Care, Community Based | 7009 Taylorsville Rd Ste C, Dayton, OH 45424-3176 | 2020-02-24 |
| 1609414523 | Tranquility Health Care LLC | Hospice Care, Community Based | 1949 West Central Ave, Suite C, Delaware, OH 43015 | 2019-12-11 |
| 1295399269 | Integrity Hospice and Health Inc | Hospice Care, Community Based | 3432 Pavilion Ln, Bellbrook, OH 45305-9779 | 2019-04-25 |
| 1346706082 | Interim Healthcare Hospice of Ohio Inc | Hospice Care, Community Based | 2682 N Columbus St Ste A, Lancaster, OH 43130-8274 | 2019-02-19 |
| 1467930958 | Interim Healthcare Hospice of Ohio Inc | Hospice Care, Community Based | 2129 Tiffin Ave Ste 3, Findlay, OH 45840-8517 | 2018-08-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.