Healthcare Provider Details

I. General information

NPI: 1730763822
Provider Name (Legal Business Name): VALLEY HOSPICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 MOUNT SAINT JOSEPH RD
WHEELING WV
26003-2349
US

IV. Provider business mailing address

10686 STATE ROUTE 150
RAYLAND OH
43943-7847
US

V. Phone/Fax

Practice location:
  • Phone: 304-242-1977
  • Fax: 304-243-0278
Mailing address:
  • Phone: 740-859-5650
  • Fax: 740-859-5695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREA HALE
Title or Position: CEO
Credential:
Phone: 740-859-5657