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
Phone: (304) 257-2005
Fax: (304) 257-2093
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053579102 | NPPES |
| West Virginia | MEDICAID | 3810013853 | |
| West Virginia | Other | 3810013879 |
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