Organization · Type 2 NPI

Kanawha Hospice Care, Inc

Community Based Hospice Care Agency · Charleston, WV

NPI number 1174556641 Active

Practice location

1606 Kanawha Blvd W
Charleston, WV 25387-2536

Fax (304) 768-6840

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	0186990 (WV)

Community Based Hospice Care Agency: Definition to come...

6 other providers at this address

Kanawha Hospice Care, IncHospice and Palliative Medicine (Family Medicine) Physician Charleston, WV NPI 1699280800
Dodi Lynn Bowen, FNP-BCFamily Nurse Practitioner Charleston, WV NPI 1811147036
Jeffrey Reed McCormick, DOFamily Medicine Physician Charleston, WV NPI 1336118587
Julie Rae Young, MSW, LICSWClinical Social Worker Charleston, WV NPI 1992511075
Michelle Lynn Lacy, APRN FNP-CNurse Practitioner Charleston, WV NPI 1568360741
Sara Ashley Mooney, FNPFamily Nurse Practitioner Charleston, WV NPI 1376944637

NPI record

NPI: 1174556641
Entity type: Organization (Type 2)
Issued: Jul 8, 2006
Last updated: Jan 14, 2022
Status: Active
Subpart: Yes of Kanawha Hospice Care, Inc

Other names

<unavail>
Hospicecare · doing business as
Wallace Grief and Loss Center · doing business as

Authorized official

Mr. Christopher Rawlings
Executive Director
(304) 768-8523

Verify this record

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 1174556641

Kanawha Hospice Care, Inc's National Provider Identifier is 1174556641, issued on Jul 8, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Charleston, WV. The record was last updated on Jan 14, 2022.