Healthcare Provider Details

I. General information

NPI: 1104879105
Provider Name (Legal Business Name): HOSPICE CARE PLUS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 ISAACS LN
RICHMOND KY
40475-2824
US

IV. Provider business mailing address

350 ISAACS LN
RICHMOND KY
40475-2824
US

V. Phone/Fax

Practice location:
  • Phone: 859-986-1500
  • Fax: 888-265-2561
Mailing address:
  • Phone: 859-986-1500
  • Fax: 859-986-2546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number400014
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number400014
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number400014
License Number StateKY

VIII. Authorized Official

Name: LISA R COX
Title or Position: CEO
Credential:
Phone: 859-986-1500