NPIMap

Organization Active NPI

Hospice of the Bluegrass, Inc

Doing business as Mountain Community Hospice, Bluegrass Hospice Care

  • Community Based Hospice Care Agency
  • Lexington, KY
National Provider Identifier
1033328232
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
400013 Issued in KY
Legal business name
HOSPICE OF THE BLUEGRASS, INC
Doing business as
Mountain Community Hospice, Bluegrass Hospice Care
Practice address
1733 Harrodsburg Rd
Lexington, KY 40504-3617
Phone
(859) 276-5344
NPI assigned
May 22, 2007
Last updated
May 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Holly S Hodge, MBA, CPA
Title
VP Finance/Chief Financial Officer
Phone
(859) 276-5344

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X 400013 KY
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X 400013 KY
Community Based Hospice Care Agency 251G00000X 400013 KY Primary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 400013 KY
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X KY

Addresses

Primary practice location

1733 Harrodsburg Rd
Lexington, KY 40504-3617

Mailing address

1733 Harrodsburg Rd
Lexington, KY 40504-3617
Phone (859) 276-5344

Other names 1

  • Mountain Community Hospice, Bluegrass Hospice Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091026000161 KY Part A Provider - Hospice 9830279439 Practice locations: Pikeville, KY; Hazard, KY; Barbourville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033328232. Details of each certification follow.

Hospice certification: CCN 181526

Legal name
HOSPICE OF THE BLUEGRASS, INC.
Doing business as
MOUNTAIN COMMUNITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 19, 1992
Last certification
Jun 7, 2017
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Sep 25, 1980 in KY
Enrollment address
57 Dennis Sandlin, MD Cove
Hazard, KY 41701-5902

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of the Bluegrass, Inc.CCN 181526 · All quality measures
Ownership
Non-Profit
Certified
Jun 19, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice of the Bluegrass Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

57 Dennis Sandlin Md Cv
Hazard, KY 41701
Phone (606) 436-0686

2312 Alexandria Dr
Lexington, KY 40504
Phone (859) 276-5344

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
Amanda Henson Individual Corporate DirectorBoard Member/Vice-Chair Everent Jan 1, 2018
Cathy Zion Individual Corporate DirectorBoard Member Dec 5, 2024
Salli E Whisman Individual W-2 Managing EmployeeMD; Jan 1, 2021
Mark Day Individual Corporate DirectorBoard Member Jan 1, 2022
Lynn K Fieldhouse Individual Corporate OfficerChief Legal Officer Jan 1, 2025
Elizabeth Fowler Individual Corporate OfficerPresident & Ceo Sep 8, 2014
Corporate DirectorPresident & Ceo Sep 8, 2014
W-2 Managing EmployeeAd; Sep 8, 2014
Operational/Managerial ControlPresident & Ceo Sep 8, 2014
Jeffrey Koonce Individual Corporate DirectorBoard Member Jan 1, 2022
Jennifer Taylor Individual Corporate DirectorSecretary Jan 1, 2025
Nana Mensah Individual Corporate DirectorBoard Member Dec 17, 2024
Robert Rosenstein Individual Corporate DirectorBoard Member Jan 1, 2017
Jennifer Madden Individual Corporate DirectorVice-Chair Jan 1, 2022
Robert Cofield Individual Corporate DirectorBoard Member/Treasurer Jan 1, 2019
Robert Edwards Individual Corporate DirectorBoard Member Jan 1, 2025
Mark Meade Individual Corporate DirectorBoard Member Jan 1, 2023
Lawrence Wetherby Individual Corporate DirectorBoard Member Jan 1, 2023
Shirie Hawkins Individual Corporate DirectorBoard Member Jan 1, 2025
David Cook Individual Corporate OfficerPresident Sep 7, 2021
Corporate DirectorPresident Sep 7, 2021
Everent Health Inc Organization, Frankfort, KY Corporation Operational/Managerial Control Apr 1, 2025 100%
Rachael Chamberlain Individual Corporate DirectorBoard Member Jan 1, 2025
Holly Hodge Individual Corporate OfficerCfo/VP of Finance Jun 2, 2014
W-2 Managing EmployeeCfo/VP of Finance Jun 2, 2014
Rebecca Phillips Individual Corporate DirectorTreasurer Apr 18, 2025
James Watson Individual Corporate DirectorBoard Member Dec 5, 2025
Richard Hopgood Individual Corporate DirectorBoard Member Jan 1, 2018
Jonathon Davis Individual Corporate DirectorBoard Member Jan 1, 2023
Lynn M Bynum Individual Corporate DirectorBoard Member Dec 5, 2024
Cheri Glass Individual Corporate DirectorChair for Everent Health, Inc; Dec 5, 2024
Fairlena K Fugate Individual Corporate DirectorBoard Member Jan 1, 2024
John Austin Individual Corporate DirectorBoard Member Jan 1, 2021
Hospice of the Bluegrass, Inc. Organization, Lexington, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 15, 2009
Operational/Managerial Control Sep 8, 2014
Giovanni Romero Individual Corporate DirectorBoard Member Jan 1, 2024

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bluegrass Home Health CareCynthiana, KY, CCN 187055 Home health agency 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jun 30, 2022
Jun 30, 2022
Bluegrass Care NavigatorsLexington, KY, CCN 181500 Hospice 5% Or Greater Direct Ownership Interest Oct 30, 2007

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 52

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

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1033328232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043617",
            "telephone_number": "859-276-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043617",
            "telephone_number": "859-276-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF THE BLUEGRASS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP FINANCE/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "859-276-5344",
        "authorized_official_credential": "MBA, CPA"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "400013",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "400013",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KY",
            "license": "400013",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "400013",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Community Hospice, Bluegrass Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Community Hospice, Bluegrass Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.