Healthcare Provider Details

I. General information

NPI: 1013976372
Provider Name (Legal Business Name): HOSPICE EAST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 06/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 SHOPPERS DR
WINCHESTER KY
40391-1380
US

IV. Provider business mailing address

407 SHOPPERS DR
WINCHESTER KY
40391-1380
US

V. Phone/Fax

Practice location:
  • Phone: 859-744-9866
  • Fax: 859-744-1971
Mailing address:
  • Phone: 859-744-9866
  • Fax: 859-744-1971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number400027
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number400027
License Number StateKY

VIII. Authorized Official

Name: MRS. DEBBIE JONES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 859-744-9866