Healthcare Provider Details

I. General information

NPI: 1184015810
Provider Name (Legal Business Name): GRANE HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 09/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 ALPHA DR SUITE 200
PITTSBURGH PA
15238-2906
US

IV. Provider business mailing address

209 SIGMA DR SUITE 302
PITTSBURGH PA
15238-2826
US

V. Phone/Fax

Practice location:
  • Phone: 412-449-1350
  • Fax: 412-963-6676
Mailing address:
  • Phone: 412-963-9150
  • Fax: 412-963-6676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number26123601
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number26123601
License Number StatePA

VIII. Authorized Official

Name: HERBERT HENNELL
Title or Position: VICE PRESIDENT OF REIMBURSEMENT
Credential:
Phone: 412-963-9150