MEDICARE: HOSPICE OF THE BLUEGRASS, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	252Y00000X	Early Intervention Provider Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1588302426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE OF THE BLUEGRASS, INC

Provider Business Mailing Address
First Line	:	1733 HARRODSBURG RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3617
Country	:	US
Telephone Number	:	859-276-5344
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 US HIGHWAY 62 E
Second Line	:
City	:	CYNTHIANA
State	:	KY
Zip	:	41031-7970
Country	:	US
Telephone Number	:	859-276-5344
Fax Number	:

Authorized Official
Title or Position	:	CFO/VP OF FINANCE
Name	:	HOLLY HODGE
Credential	:
Telephone Number	:	859-296-6826

Provider Enumeration Date	:	05/20/2022
Last Update Date	:	05/20/2022

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