NPIMap

Organization Active NPI

Hospice of Huntington, Inc

Doing business as Tri-State LifeCare in Ohio

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • South Point, OH
National Provider Identifier
1740789080
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
HOSPICE OF HUNTINGTON, INC
Doing business as
Tri-State LifeCare in Ohio
Practice address
48 Private Drive 339
South Point, OH 45680-8919
Phone
(740) 894-0013
NPI assigned
Feb 1, 2018
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Melanie Lynn Hall
Title
President & Ceo
Phone
(304) 529-4217

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU Primary

Addresses

Primary practice location

48 Private Drive 339
South Point, OH 45680-8919

Mailing address

PO Box 464
Huntington, WV 25709-0464
Phone (304) 529-4217

Other names 1

  • Tri-State LifeCare in Ohio Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180314002657 OH Part B Supplier - Clinic/Group Practice 3870572860 Receives reassigned benefits from 7 practitioners
Practice locations: South Point, OH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1408 Campbell Dr
#C200
Ironton, OH 45638
Phone (740) 237-1006

1408 Campbell Dr
Ste C
Ironton, OH 45638
Phone (740) 237-1006

357 Walnut St
Hamlin, WV 25523
Phone (304) 824-5800

3100 Staunton Rd
Huntington, WV 25702
Phone (304) 781-8400

8 Stonecrest Dr
Huntington, WV 25701
Phone (304) 399-0225

2118 Jefferson Ave
Point Pleasant, WV 25550
Phone (304) 675-1127

8377 Route 152
Wayne, WV 25570
Phone (304) 272-3500

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Huntington in OhioSouth Point, OH, CCN 361649 Hospice Operational/Managerial Control Apr 1, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1740789080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257090464",
            "telephone_number": "304-529-4217",
            "fax_number": "304-523-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 PRIVATE DRIVE 339",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808919",
            "telephone_number": "740-894-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF HUNTINGTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "304-529-4217"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-State LifeCare in Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Point, OH

Sources for this page

Verify at the official NPI Registry.