HOSPICE OF SOUTHERN KENTUCKY INC NPI 1790784312

NPI Information

  • NPI: 1790784312
  • Provider Name: HOSPICE OF SOUTHERN KENTUCKY, INC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 18D1089165
  • Address: 5872 SCOTTSVILLE RD
    BOWLING GREEN, KY
    ZIP 42104
  • Phone: (270) 746-9300

Map and Directions

Get Directions

NPI Details

HOSPICE OF SOUTHERN KENTUCKY, INC is a hospice care community based in Bowling Green, KY. HOSPICE OF SOUTHERN KENTUCKY, INC NPI is 1790784312. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5872 SCOTTSVILLE RD
BOWLING GREEN, KY
ZIP 42104-853
Phone: (270) 746-9300
Fax: (270) 782-3496

The provider's authorized official is Steven Jantz .
The authorized official title is Executive Director and has the following contact phone number (270) 746-9300.

The CLIA number assigned to this NPI record is 18D1089165 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 11/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QH0002XFamily MedicineHospice and Palliative MedicineNo
2251G00000XHospice Care, Community Based400006KENTUCKYNo
3251G00000XHospice Care, Community BasedKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
144114015MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI