Healthcare Provider Details

I. General information

NPI: 1003892977
Provider Name (Legal Business Name): HOSPICE & PALLIATIVE CARE OF THE OHIO VALLEY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 01/28/2020
Certification Date: 01/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3419 WATHENS XING
OWENSBORO KY
42301-7009
US

IV. Provider business mailing address

3419 WATHENS XING
OWENSBORO KY
42301-7009
US

V. Phone/Fax

Practice location:
  • Phone: 270-926-7565
  • Fax: 270-685-0516
Mailing address:
  • Phone: 270-926-7565
  • Fax: 270-685-0516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number400005
License Number StateKY

VIII. Authorized Official

Name: MS. BELINDA BLAIR
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 270-926-7565