Healthcare Provider Details

I. General information

NPI: 1770565053
Provider Name (Legal Business Name): HOSPICE OF HUNTINGTON, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 6TH AVE
HUNTINGTON WV
25701-2345
US

IV. Provider business mailing address

PO BOX 464 1101 SIXTH AVENUE
HUNTINGTON WV
25709
US

V. Phone/Fax

Practice location:
  • Phone: 304-529-4217
  • Fax:
Mailing address:
  • Phone: 304-529-4217
  • Fax: 304-523-6051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number01368
License Number StateWV

VIII. Authorized Official

Name: MRS. MELANIE P HALL
Title or Position: PRESIDENT & CEO
Credential: RN
Phone: 304-529-4217