NPIMap

Organization Active NPI

Hospice of Huntington, Inc

Doing business as Tri-State LifeCare

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Huntington, WV
National Provider Identifier
1972018646
Registry record updated Jun 5, 2023
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
Practice address
1101 6TH Ave
Huntington, WV 25701-2345
Phone
(304) 529-4217
Fax
(304) 523-6051
NPI assigned
Dec 4, 2017
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1101 6TH Ave
Huntington, WV 25701-2345

Mailing address

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

Other names 1

  • Tri-State LifeCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161228000323 WV Part B Supplier - Clinic/Group Practice 3870572860 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Hamlin, WV; Huntington, WV; Wayne, WV

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

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 11

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": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1972018646",
    "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": "1101 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012345",
            "telephone_number": "304-529-4217",
            "fax_number": "304-523-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF HUNTINGTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "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",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-State LifeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.