Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hospice of the Western Reserve, Inc

Organization Nurse Practitioner · NPI 1811163009

Hospice of the Western Reserve, Inc is a Nurse Practitioner in Cleveland, Ohio. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17876 Saint Clair Ave
Cleveland, OH 44110-2602
Phone: (216) 383-3738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1811163009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Kay Tyler — Chief Quality Officer · (216) 383-3738
NPI enumeratedMay 7, 2008
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026
Mailing address17876 Saint Clair Ave, Cleveland, OH 44110-2602

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