Healthcare Provider Details

I. General information

NPI: 1508290347
Provider Name (Legal Business Name): HUG SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 08/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 61 BOX 111G
CAPON BRIDGE WV
26711-9709
US

IV. Provider business mailing address

HC 61 BOX 111G
CAPON BRIDGE WV
26711-9709
US

V. Phone/Fax

Practice location:
  • Phone: 304-582-7001
  • Fax:
Mailing address:
  • Phone: 304-582-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2280-7659
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number2280-7659
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number2280-7659
License Number StateWV

VIII. Authorized Official

Name: KRISTI L EDWARDS
Title or Position: OWNER
Credential:
Phone: 304-582-7001