Healthcare Provider Details

I. General information

NPI: 1760458657
Provider Name (Legal Business Name): HOSPICE OF YANCEY COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

856 GEORGES FORK RD
BURNSVILLE NC
28714-7842
US

IV. Provider business mailing address

856 GEORGES FORK RD
BURNSVILLE NC
28714-7842
US

V. Phone/Fax

Practice location:
  • Phone: 828-682-9675
  • Fax: 828-682-4713
Mailing address:
  • Phone: 828-682-9675
  • Fax: 828-682-4713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHOS1027
License Number StateNC

VIII. Authorized Official

Name: MR. MATTHEW V GRINDSTAFF
Title or Position: CEO
Credential:
Phone: 828-682-9675