Organization
HOUSECALLS HOME HEALTH AND HOSPICE, LLC
Active
Other names
Housecalls Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
417 GRAND PARK DR STE 204, PARKERSBURG, WV 26105-4049
(304) 424-3901
(304) 424-7004
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010660
—
WV
05
—
3810010661
—
WV
01
—
3810010891
MEDICAID - NURSING HOME
WV
Enumeration date
12/08/2006
Last updated
09/09/2024
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