| Organization Name: | NATIONAL CHURCH RESIDENCES AT HOME HOSPICE, CENTRAL OHIO |
| NPI Number: | 1972609030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACCI NICKELL (PRESIDENT) |
| Mailing Address: | 2245 N Bank Dr Columbus |
| State: | OH US |
| Postal Code: | 432205422 |
| Phone Number: | 6144576950 |
| Fax Number: | 6144576951 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 10/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 1574081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |