| Organization Name: | HOSPICE OF THE WESTERN RESERVE, INC. |
| NPI Number: | 1255333753 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID A. SIMPSON (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 300 E 185th St Cleveland |
| State: | OH US |
| Postal Code: | 441191330 |
| Phone Number: | 2163832222 |
| Fax Number: | 2163833750 |
| NPI Enumeration Date: | 08/15/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 0003-HSP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |