NPIMap

Organization Active NPI

Community Hospice, Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Ashland, KY
National Provider Identifier
1144375585
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
COMMUNITY HOSPICE, INC.
Practice address
1480 Carter Ave
Ashland, KY 41101-7546
Phone
(606) 329-1890
Fax
(606) 329-0018
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Authorized official

Name
Mrs. Susan D. Hunt, MSW
Title
Executive Director
Phone
(606) 329-1890

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1480 Carter Ave
Ashland, KY 41101-7546

Mailing address

1480 Carter Ave
Ashland, KY 41101-7546
Phone (606) 329-1890

Other identifiers 1

IdentifierTypeStateIssuer
K201060OtherMEDICARE PTAN

Other names 1

  • Community Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050831000335 KY Part B Supplier - Clinic/Group Practice 0042242950 Receives reassigned benefits from 3 practitioners
Practice locations: Ashland, KY
O20171003007056 OH Part B Supplier - Clinic/Group Practice 0042242950 Receives reassigned benefits from 3 practitioners
Practice locations: Ironton, OH

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Community Hospice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1538 Central Ave
Ashland, KY 41101
Phone (606) 329-1890

869 N US Highway 23
Paintsville, KY 41240
Phone (606) 297-1095

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Community Hospice, Inc.Ashland, KY, CCN 181501 Hospice Operational/Managerial Control (100%) May 17, 1979
Community Hospice of Southern OhioIronton, OH, CCN 361653 Hospice Operational/Managerial Control (100%) May 30, 2012

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494806400000",
    "number": "1144375585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017546",
            "telephone_number": "606-329-1890",
            "fax_number": "606-329-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017546",
            "telephone_number": "606-329-1890",
            "fax_number": "606-329-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2017-05-15",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "606-329-1890",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K201060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.