Hospice of Big Sandy, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

400019 Issued in KY

Legal business name

HOSPICE OF BIG SANDY, INC.

Practice address

1520 Ky Route 1428
Hagerhill, KY 41222-8646

Phone

(606) 789-3841

Fax

(606) 789-1527

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sharon A. Branham, RN

Title

Pres/Ceo

Phone

(606) 432-2111

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346200185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S MAYO TRL",
            "address_2": "PO BOX 3457",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012206",
            "telephone_number": "606-432-2111",
            "fax_number": "606-437-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 KY ROUTE 1428",
            "city": "HAGERHILL",
            "state": "KY",
            "postal_code": "412228646",
            "telephone_number": "606-789-3841",
            "fax_number": "606-789-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF BIG SANDY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANHAM",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "606-432-2111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KY",
            "license": "400019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44036010",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000054768",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.