Healthcare Provider Details

I. General information

NPI: 1497799753
Provider Name (Legal Business Name): HOSPICE OF HOPE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 KENTON STATION RD
MAYSVILLE KY
41056-9609
US

IV. Provider business mailing address

909 KENTON STATION RD
MAYSVILLE KY
41056-9609
US

V. Phone/Fax

Practice location:
  • Phone: 606-759-4050
  • Fax: 606-759-1207
Mailing address:
  • Phone: 606-759-4050
  • Fax: 606-759-1207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number720154
License Number StateKY

VIII. Authorized Official

Name: DEREK SHAWN FLAUGHER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 606-759-4050