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1629015250

NPI Code Detail

MEDICARE: ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, LLC

MEDICARE: ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	154499	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	108176	OTHER	PA	UPMC HEALTH PLAN
2	606348200	OTHER	PA	FEDERAL BLACK LUNG
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	162461	OTHER	PA	THREE RIVERS HEALTH PLANS
6	212057	OTHER	PA	UPMC HEALTH PLAN
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	1019517	OTHER	PA	GATEWAY HEALTH PLAN
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	1028	OTHER	PA	BC FEDERAL
14	162463	OTHER	PA	THREE RIVERS HEALTH PLANS
15	254540	OTHER	PA	HEALTH AMERICA PA
16	757	OTHER	PA	PA HIGHMARK BCBS

General Provider Information

NPI Number	:	1629015250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, LLC

Provider Business Mailing Address
First Line	:	3854 AMERICAN WAY STE A
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4897
Country	:	US
Telephone Number	:	225-292-2031
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	649 CHERRY TREE LN
Second Line	:
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-8947
Country	:	US
Telephone Number	:	724-439-4440
Fax Number	:	724-438-2072

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	JOSHUA L. PROFFITT
Credential	:
Telephone Number	:	617-639-4092

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	04/06/2026

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Directions to “ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, LLC ” Practice Location

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