MEDICARE: HOSPARUS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	07-005121-1	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336295310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPARUS INC.

Provider Business Mailing Address
First Line	:	6200 DUTCHMANS LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3271
Country	:	US
Telephone Number	:	502-456-6200
Fax Number	:	502-456-6275

Provider Business Practice Location Address
First Line	:	502 HAUSFELDT LN
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-2221
Country	:	US
Telephone Number	:	2-640-5218
Fax Number	:	24-566-6555

Authorized Official
Title or Position	:	CHIEF LEGAL COUNSEL
Name	:	LYNN FIELDHOUSE
Credential	:	JC, CHC SRNA
Telephone Number	:	502-727-9739

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	02/26/2024

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Directions to “HOSPARUS INC. ” Practice Location

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