Provider Demographics
NPI: | 1033524921 |
---|---|
Name: | GRANE HOSPICE CARE, INC. |
Entity Type: | Organization |
Organization Name: | GRANE HOSPICE CARE, INC. |
Other - Org Name: | GRANE HOME HEALTH CARE |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | VICE PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | HERBERT |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HENNELL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 412-963-9150 |
Mailing Address - Street 1: | 260 ALPHA DR STE 300-ALT |
Mailing Address - Street 2: | |
Mailing Address - City: | PITTSBURGH |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 15238-2906 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 412-963-9150 |
Mailing Address - Fax: | 412-963-6676 |
Practice Address - Street 1: | 115 UNION AVE STE 300 |
Practice Address - Street 2: | |
Practice Address - City: | ALTOONA |
Practice Address - State: | PA |
Practice Address - Zip Code: | 16602 |
Practice Address - Country: | US |
Practice Address - Phone: | 814-381-0196 |
Practice Address - Fax: | 814-381-0197 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-06-30 |
Last Update Date: | 2018-08-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | 05370501 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |