Healthcare Provider Details

I. General information

NPI: 1518926369
Provider Name (Legal Business Name): COMMUNITY HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 07/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 CARTER AVE
ASHLAND KY
41101-7546
US

IV. Provider business mailing address

1480 CARTER AVE
ASHLAND KY
41101-7546
US

V. Phone/Fax

Practice location:
  • Phone: 606-329-1890
  • Fax: 606-329-0018
Mailing address:
  • Phone: 606-329-1890
  • Fax: 606-329-0018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSAN D HUNT
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW
Phone: 606-329-1890