Healthcare Provider Details
I. General information
NPI: 1740789080
Provider Name (Legal Business Name): HOSPICE OF HUNTINGTON, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/01/2018
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
48 PRIVATE DRIVE 339
SOUTH POINT OH
45680-8919
US
IV. Provider business mailing address
PO BOX 464
HUNTINGTON WV
25709-0464
US
V. Phone/Fax
- Phone: 740-894-0013
- Fax:
- Phone: 304-529-4217
- Fax: 304-523-6051
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELANIE
LYNN
HALL
Title or Position: PRESIDENT & CEO
Credential:
Phone: 304-529-4217