Healthcare Provider Details

I. General information

NPI: 1528049160
Provider Name (Legal Business Name): GRANE HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 ALPHA DR
PITTSBURGH PA
15238-2906
US

IV. Provider business mailing address

260 ALPHA DR
PITTSBURGH PA
15238-2906
US

V. Phone/Fax

Practice location:
  • Phone: 412-963-6310
  • Fax: 412-963-7808
Mailing address:
  • Phone: 412-963-6310
  • Fax: 412-963-6310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number16741601
License Number StatePA

VIII. Authorized Official

Name: DAVID KOSLOFF
Title or Position: CFO
Credential:
Phone: 206-576-0087