HOSPICE OF SOUTHERN KENTUCKY, INC; NPI #1790784312

Contact Information

HOSPICE OF SOUTHERN KENTUCKY, INC

5872 SCOTTSVILLE RD
BOWLING GREEN, KY 42104-7853

Phone: 270-746-9300
Fax: 270-782-3496
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hospice Care, Community Based	251G00000X	B4[14]	Hospice
Hospice and Palliative Medicine	207QH0002X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for HOSPICE OF SOUTHERN KENTUCKY, INC

NPI Number 1790784312

LBN Legal business name HOSPICE OF SOUTHERN KENTUCKY, INC

Authorized official STEVEN JANTZ - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/15/2005

Last updated 01/22/2026 - About 4 months ago

Identifiers

KY	License #	400006
KY	Medicaid	44114015

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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