Provider Demographics
NPI:1730176298
Name:HARDIN COUNTY HOSPICE
Entity type:Organization
Organization Name:HARDIN COUNTY HOSPICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:419-673-1897
Mailing Address - Street 1:15 N DETROIT ST
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:KENTON
Mailing Address - State:OH
Mailing Address - Zip Code:43326-1571
Mailing Address - Country:US
Mailing Address - Phone:419-673-1897
Mailing Address - Fax:419-674-4463
Practice Address - Street 1:15 N DETROIT ST
Practice Address - Street 2:SUITE 4000
Practice Address - City:KENTON
Practice Address - State:OH
Practice Address - Zip Code:43326-1571
Practice Address - Country:US
Practice Address - Phone:419-673-1897
Practice Address - Fax:419-674-4463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0024HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000157324OtherANTHEM BLUE CROSS/BLUE SH
OH0820339Medicaid
OH361541Medicare ID - Type Unspecified