NPIMap

Organization Active NPI

Hospice of Southern Kentucky Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Bowling Green, KY
National Provider Identifier
1366742256
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
HOSPICE OF SOUTHERN KENTUCKY INC
Practice address
5872 Scottsville Rd
Bowling Green, KY 42104-7853
Phone
(270) 782-3402
Fax
(270) 782-3496
NPI assigned
Oct 26, 2010
Organization subpart
Yes
Parent organization
HOSPICE OF SOUTHERN KENTUCKY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Mr. Steven Jantz
Title
Executive Director
Phone
(270) 746-9300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X

Addresses

Primary practice location

5872 Scottsville Rd
Bowling Green, KY 42104-7853

Mailing address

5872 Scottsville Rd
Bowling Green, KY 42104-7853
Phone (270) 746-9300

Other identifiers 1

IdentifierTypeStateIssuer
7101013060MedicaidKY

Other names 1

  • Palliative Care of Southern Kentucky Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130427000171 KY Part B Supplier - Clinic/Group Practice 0244238806 Receives reassigned benefits from 3 practitioners
Practice locations: Bowling Green, KY

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Southern Kentucky Inc2 organizations share this tax ID, including this one
Part of
Hospice of Southern Kentucky Inc

Other organizations with this tax ID 1

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

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Hospice of Southern Kentucky, IncBowling Green, KY, CCN 181511 Hospice Operational/Managerial Control Mar 23, 1988

Owned or controlled facilities with NPI records 1

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1366742256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5872 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047853",
            "telephone_number": "270-746-9300",
            "fax_number": "270-782-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5872 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047853",
            "telephone_number": "270-782-3402",
            "fax_number": "270-782-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF SOUTHERN KENTUCKY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPICE OF SOUTHERN KENTUCKY, INC.",
        "enumeration_date": "2010-10-26",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "JANTZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-746-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101013060",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palliative Care of Southern Kentucky",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palliative Care of Southern Kentucky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.