Grant Memorial Hospice

LBN: Grant Memorial Homecare And Hospice, Llc
Grant Memorial Hospice is an health care organization with primary practice located at 100 Hospital Drive Suite 2, Petersburg WV 26847-9409. The organization recently has 2 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Nursing & Custodial Care Facilities / Hospice, Inpatient. Agencies / Hospice Care, Community Based is the primary health care specialty. Grant Memorial Homecare And Hospice, Llc can be contacted via phone (304) 257-2005, or through Gachassin, Nicholas via phone (337) 233-1307.

Contact Information

Primary practice address
100 Hospital Drive Suite 2 Petersburg WV 26847-9409
Fax: (304) 257-2093
Website:
Authorized official contact:
Name: Gachassin, Nicholas

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 16 West Virginia
Nursing & Custodial Care Facilities / Hospice, Inpatient 315D00000X

Profile Details

NPI number 1053579102
LBN Legal business name Grant Memorial Homecare And Hospice, Llc
DBA Doing business as Grant Memorial Hospice
Authorized official Gachassin, Nicholas
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2008
Last updated Jul 28th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053579102 NPPES
West Virginia MEDICAID 3810013853
West Virginia Other 3810013879

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