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NPI Code Detail

MEDICARE: HOSPICE OF THE BLUEGRASS, INC

MEDICARE: HOSPICE OF THE BLUEGRASS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist
2207QH0002XHospice and Palliative Medicine (Family Medicine) Physician400003KY
3207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianKY
4221700000XArt Therapist
5225700000XMassage Therapist
6225A00000XMusic Therapist
7251J00000XNursing Care Agency45449162KY
8363LA2200XAdult Health Nurse Practitioner400003KY
9363LF0000XFamily Nurse PractitionerKY
10251G00000XCommunity Based Hospice Care Agency400003KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3181500OTHERKYMEDICARE CCN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861538209
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF THE BLUEGRASS, INC
Provider Business Mailing Address
First Line : 1733 HARRODSBURG RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3617
Country : US
Telephone Number : 859-276-5344
Fax Number :
Provider Business Practice Location Address
First Line : 1733 HARRODSBURG RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3617
Country : US
Telephone Number : 859-276-5344
Fax Number :
Authorized Official
Title or Position : VP FINANCE/CHIEF FINANCIAL OFFICER
Name : HOLLY S HODGE
Credential : MBA, CPA
Telephone Number : 859-296-6826
Provider Enumeration Date : 01/30/2007
Last Update Date : 05/18/2023

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