Organization · Type 2 NPI

Grant Memorial Homecare and Hospice LLC

Home Health Agency · Petersburg, WV

NPI number 1104084151 Active

Practice location

100 Hospital Dr Ste 3
Petersburg, WV 26847-9570

Call (304) 257-1015 Map

Fax (304) 257-1129

Mailing address

PO Box 51266
Lafayette, LA 70505-1266

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

11 other providers at this address

Other home health agency providers in Petersburg

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NPI record

NPI: 1104084151
Entity type: Organization (Type 2)
Issued: May 27, 2008
Last updated: Aug 23, 2024
Status: Active

Other names

<unavail>
Grant Memorial Homecare · doing business as
Grant Memorial Homecare · doing business as

Authorized official

Mr. Joshua L Proffitt
President
(337) 233-1307

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104084151

Grant Memorial Homecare and Hospice LLC's National Provider Identifier is 1104084151, issued on May 27, 2008. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Petersburg, WV. The record was last updated on Aug 23, 2024.