GRANT MEMORIAL HOMECARE AND HOSPICE LLC (NPI# 1104084151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104084151 |
| Entity Type | Organization |
| Organization Name | GRANT MEMORIAL HOMECARE AND HOSPICE LLC |
| Other Organization Name | GRANT MEMORIAL HOMECARE |
| Practice Address |
1 Hospital Drive Petersburg WV 26847 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 3042575818 |
| Practice Fax Number | 3042572093 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2009-10-23 |
| Authorized Official Name | MR. PETER C. NOVEMBER II (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810013956 | 05 |
| Other Name | Type Code |
|---|---|
| Grant Memorial HomeCare | Doing Business As Name - Organization |
| Street Address |
1 HOSPITAL DRIVE |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349161 | Grant Memorial Hospital | Clinic/Center | 1 Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1437312576 | Grant Memorial Hospital | Public Health or Welfare | 1 Hospital Drive, Petersburg, WV 26847 | 2008-07-09 |
| 1124151071 | Grant Memorial Hospital | Ambulance | 1 Hospital Drive, Petersburg, WV 26847 | 2007-03-13 |
| 1811020514 | Grant Memorial Hospital | Emergency Medicine | 1 Hospital Drive, Petersburg, WV 26847 | 2007-03-13 |
| 1922149046 | Grant Memorial Hospital | Clinic/Center | 1 Hospital Drive, Petersburg, WV 26847 | 2007-02-09 |
| 1811936032 | Grant Memorial Hospital | Skilled Nursing Facility | 1 Hospital Drive, Petersburg, WV 26847 | 2006-06-05 |
| 1588619746 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 1 Hospital Drive, Petersburg, WV 26847 | 2006-05-24 |
| 1730152513 | Grant Memorial Hospital | Hospice Care, Community Based | 1 Hospital Drive, Petersburg, WV 26847 | 2006-02-10 |
| 1366415143 | Grant Memorial Hospital | Home Health | 1 Hospital Drive, Petersburg, WV 26847 | 2006-02-10 |
| 1215936646 | Thomas Clifford Valley | Internal Medicine | 1 Hospital Drive, Petersburg, WV 26847 | 2005-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130397 | Upscale Home Care, LLC | Home Health | 325 Brown St Ste 131, Petersburg, VA 23803-4234 | 2020-09-30 |
| 1720606866 | Love and Loyalty Home Care LLC | Home Health | 20 E Tabb St Ste 203, Petersburg, VA 23803-4560 | 2020-07-06 |
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1477038446 | Tameka Blount-brown | Home Health | 101 Morton Ave, Petersburg, VA 23805-2749 | 2018-09-26 |
| 1487057956 | Dream 9d Group Home LLC | Home Health | 817 S Jones St, Petersburg, VA 23803-4952 | 2014-09-29 |
| 1518304682 | Adult Healthcare Solutions, Inc | Home Health | 402 S Sycamore St, Suite A, Petersburg, VA 23803-5043 | 2013-05-30 |
| 1730456997 | Petersburg Adult Healthcare | Home Health | 130 Mckeever St, Petersburg, VA 23803-4302 | 2011-11-16 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| 1215109756 | Sapphire Healthcare Services | Home Health | 612 S Sycamore St, Suite 2, Petersburg, VA 23803-5828 | 2008-03-25 |
| 1063616746 | Mission of Love Corp. | Home Health | 2041 S Crater Rd, Petersburg, VA 23805-2703 | 2007-06-14 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
Please comment or provide details below to improve the information on GRANT MEMORIAL HOMECARE AND HOSPICE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.