Healthcare Provider Details

I. General information

NPI: 1518927334
Provider Name (Legal Business Name): APPALACHIAN HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 12/07/2021
Certification Date: 12/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 S MAYO TRL
PIKEVILLE KY
41501-2206
US

IV. Provider business mailing address

1414 S MAYO TRL
PIKEVILLE KY
41501-2206
US

V. Phone/Fax

Practice location:
  • Phone: 606-432-2112
  • Fax: 606-432-4631
Mailing address:
  • Phone: 606-432-2112
  • Fax: 606-432-4631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number400031
License Number StateKY

VIII. Authorized Official

Name: MS. SHARON A. BRANHAM
Title or Position: PRES/CEO
Credential: RN
Phone: 606-432-2112