Healthcare Provider Details

I. General information

NPI: 1336295310
Provider Name (Legal Business Name): HOSPARUS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 HAUSFELDT LN
NEW ALBANY IN
47150-2221
US

IV. Provider business mailing address

6200 DUTCHMANS LN
LOUISVILLE KY
40205-3271
US

V. Phone/Fax

Practice location:
  • Phone: 2-640-5218
  • Fax: 24-566-6555
Mailing address:
  • Phone: 502-456-6200
  • Fax: 502-456-6275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number07-005121-1
License Number StateIN

VIII. Authorized Official

Name: LYNN FIELDHOUSE
Title or Position: CHIEF LEGAL COUNSEL
Credential: JC, CHC SRNA
Phone: 502-727-9739