Ennoble Hospice West VA, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ENNOBLE HOSPICE WEST VA, LLC

Practice address

11 N Central Ave Ste 25
Staunton, VA 24401-4212

Phone

(540) 288-4622

Fax

(540) 288-4622

NPI assigned

Jul 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kushabhadra Das

Title

Ceo

Phone

(862) 812-9010

Specialties & licenses 1

Addresses

Other names 1

• Ennoble Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1609604602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N CENTRAL AVE STE 25",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014212",
            "telephone_number": "540-288-4622",
            "fax_number": "540-288-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N CENTRAL AVE STE 25",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014212",
            "telephone_number": "540-288-4622",
            "fax_number": "540-288-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNOBLE HOSPICE WEST VA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "KUSHABHADRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-812-9010"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ennoble Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ennoble Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Staunton, VA
• Providers in Staunton, VA by specialty
• Community Based Hospice Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.