Active NPI
Kanawha Hospice Care, Inc
- Hospice and Palliative Medicine (Family Medicine) Physician
- Charleston, WV
National Provider Identifier
1699280800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- KANAWHA HOSPICE CARE, INC
- Practice address
- 1606 Kanawha Blvd W
Charleston, WV 25387-2536 - Phone
- (304) 768-8523
- Fax
- (304) 941-1902
- NPI assigned
- Dec 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Morris
- Title
- Cfo
- Phone
- (304) 768-8523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary |
Addresses
Primary practice location
1606 Kanawha Blvd W
Charleston, WV 25387-2536
Mailing address
1606 Kanawha Blvd W
Charleston, WV 25387-2536
Phone (304) 768-8523
Other names 1
- Pallative Care Corporation
National Provider Directory
National Provider Directory- Tax ID family
- Kanawha Hospice Care Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Charleston, WV
- NPI 1174556641
-
- Home Health Agency
- Charleston, WV
- NPI 1679221956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512950400000",
"number": "1699280800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 KANAWHA BLVD W",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253872536",
"telephone_number": "304-768-8523",
"fax_number": "304-941-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 KANAWHA BLVD W",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253872536",
"telephone_number": "304-768-8523",
"fax_number": "304-941-1902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANAWHA HOSPICE CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-11",
"last_updated": "2017-12-11",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "304-768-8523"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pallative Care Corporation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.