Organization Active NPI

Hospice East Inc

  • Community Based Hospice Care Agency
  • Winchester, KY
National Provider Identifier
1013976372
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
400027 Issued in KY
Legal business name
HOSPICE EAST INC
Practice address
407 Shoppers Dr
Winchester, KY 40391-1380
Phone
(859) 744-9866
Fax
(859) 744-1971
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Debbie Jones
Title
Executive Director
Phone
(859) 744-9866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 400027 KY Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 400027 KY

Addresses

Primary practice location

407 Shoppers Dr
Winchester, KY 40391-1380

Mailing address

407 Shoppers Dr
Winchester, KY 40391-1380
Phone (859) 744-9866

Other identifiers 1

IdentifierTypeStateIssuer
44025013MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120425000788 KY Part A Provider - Hospice 1557523297 Practice locations: Winchester, KY
O20160322000198 KY Part B Supplier - Clinic/Group Practice 1557523297 Receives reassigned benefits from 1 practitioner
Practice locations: Winchester, KY

Hospice certification: CCN 181506

Legal name
HOSPICE EAST, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 19, 1986
Last certification
Feb 14, 2018
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Oct 5, 1987 in KY
Enrollment address
407 Shoppers Drive
Winchester, KY 40391-1380

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice EastCCN 181506
Ownership
For-Profit
Certified
Sep 19, 1986
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

407 Shoppers Dr
Winchester, KY 40391
Phone (859) 744-9866

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Candace Quisenberry Individual Corporate DirectorBoard Member Jan 1, 2023
Hospice East, Inc Organization, Winchester, KY Non-profit Operational/Managerial Control Mar 26, 1990 100%
John Rompf Individual Corporate Director Jan 1, 2020
Daniel Barry Individual Corporate DirectorBoard Member Jan 1, 2022
Mary Brashear Individual Corporate Director Jan 1, 2023
Henry Branham Individual Corporate Director Jan 1, 2020
Deana C Brooks Individual Corporate Director Jan 1, 2022
Nellie Anderson Individual Corporate Director Jan 1, 2022
Eugene Morton Individual Corporate DirectorBoard Member Jan 1, 2023
Debbie E Jones Individual W-2 Managing EmployeeExecutive Director Jun 1, 2014
Jane Burnam Individual Corporate Director Jan 1, 2020
William B Greiser Individual W-2 Managing EmployeeMedical Director Jul 16, 2019
James Clark Individual Corporate Director Jan 1, 2022
Tim Smith Individual Corporate Director Jan 1, 2022
Kayla Carroll Individual Corporate Director Jan 1, 2022
Leanna Comer Individual Corporate DirectorBoard Member Jan 1, 2023
Ann Humble Individual Corporate Director Jan 1, 2022
Diann Meadows Individual Corporate DirectorBoard Member Jan 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1013976372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SHOPPERS DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911380",
            "telephone_number": "859-744-9866",
            "fax_number": "859-744-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SHOPPERS DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911380",
            "telephone_number": "859-744-9866",
            "fax_number": "859-744-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE EAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "859-744-9866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KY",
            "license": "400027",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "400027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44025013",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.