Provider Demographics
NPI:1972018646
Name:HOSPICE OF HUNTINGTON, INC
Entity Type:Organization
Organization Name:HOSPICE OF HUNTINGTON, INC
Other - Org Name:TRI-STATE LIFECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:304-529-4217
Mailing Address - Street 1:PO BOX 464
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25709-0464
Mailing Address - Country:US
Mailing Address - Phone:304-529-4217
Mailing Address - Fax:304-523-6051
Practice Address - Street 1:1101 6TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-2345
Practice Address - Country:US
Practice Address - Phone:304-529-4217
Practice Address - Fax:304-523-6051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-04
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty