MORGANTOWN HOSPICE LLC NPI 1659461804

NPI Information

NPI: 1659461804
Provider Name: MORGANTOWN HOSPICE LLC

Doing Business As: MORGANTOWN HOSPICE, AN AMEDISYS PARTNER

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 51D2067512

Address:
3596 COLLINS FERRY RD
SUITE 250
MORGANTOWN, WV
ZIP 26505
Phone: (304) 285-2777
Get Directions

MORGANTOWN HOSPICE LLC is a hospice care community based in Morgantown, WV. MORGANTOWN HOSPICE LLC NPI is 1659461804. The provider is registered as an organization entity type.
The provider Is Doing Business As Morgantown Hospice, An Amedisys Partner.

The provider's business location address is:

3596 COLLINS FERRY RD
SUITE 250
MORGANTOWN, WV
ZIP 26505-374
Phone: (304) 285-2777
Fax: (304) 285-1456

The provider's authorized official is Paul Kusserow .
The authorized official title is President and has the following contact phone number (225) 292-2031.

The CLIA number assigned to this NPI record is 51D2067512 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 6/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315D00000X	Hospice, Inpatient		02861287	WEST VIRGINIA	No
2	251G00000X	Hospice Care, Community Based		02861287	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0001360002	MEDICAID	WEST VIRGINIA
2	0001360003	MEDICAID	WEST VIRGINIA
3	511511A	MEDICARE OSCAR/CERTIFICATION
4	3810027632	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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