GRANT MEMORIAL HOMECARE AND HOSPICE, LLC; NPI #1053579102

Contact Information

GRANT MEMORIAL HOMECARE AND HOSPICE, LLC

100 HOSPITAL DRIVE
SUITE 2
PETERSBURG, WV 26847-9409

Phone: 304-257-2005
Fax: 304-257-2093
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hospice Care, Community Based	251G00000X	B4[14]	Hospice
Hospice, Inpatient	315D00000X

Indicates primary specialty

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NPI Profile & details for GRANT MEMORIAL HOMECARE AND HOSPICE, LLC

NPI # 1053579102

LBN Legal business name GRANT MEMORIAL HOMECARE AND HOSPICE, LLC

Authorized official JOSHUA PROFFITT - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/27/2008

Last updated 09/06/2024 - More than a year ago

Identifiers

WV	License #	16
WV	Medicaid	3810013853
WV	Other	3810013879	MEDICAID - NURSING HOME

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Nearby Agencies

GRANT MEMORIAL HOSPITAL
1 HOSPITAL DRIVE
PETERSBURG, WV

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GRANT MEMORIAL HOMECARE AND HOSPICE, LLC

Contact Information

Specialty

Hospice Care, Community Based

Hospice, Inpatient

NPI Profile & details for GRANT MEMORIAL HOMECARE AND HOSPICE, LLC

Reviews for GRANT MEMORIAL HOMECARE AND HOSPICE, LLC