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Grant Memorial Homecare and Hospice, LLC — NPI 1053579102, Petersburg, WV | NPI Central

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NPI 1053579102

OrganizationActive

Grant Memorial Homecare and Hospice, LLC

NPI 1053579102 · Community Based Hospice Care Agency · Petersburg, WV

Provider details

NPI number: 1053579102
Entity type: Organization
Primary specialty: Community Based Hospice Care AgencyAgencies
Organization subpart: No
Authorized official: Joshua Proffitt, President(337) 233-1307

Specialties & taxonomies

Community Based Hospice Care AgencyPrimary251G00000XLicense 16 (WV)
Agencies
Inpatient Hospice315D00000X
Nursing & Custodial Care Facilities

Practice location

100 Hospital Drive

Suite 2

Petersburg, WV 26847-9409

Phone: (304) 257-2005

Fax: (304) 257-2093

Approximate (ZIP-level) locationGet directions

More WV providers

Mailing address

Po Box 51266

Lafayette, LA 70505-1266

Other names (DBA / former)

Doing business as: Grant Memorial Hospice
Doing business as: Grant Memorial Hospice

Registry dates

Enumerated: 2008-05-27
Last updated: 2024-09-06
Certified: 2024-09-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.