NPIMap

Organization Active NPI

Hospice of Southern Kentucky, Inc

  • Community Based Hospice Care Agency
  • Bowling Green, KY
National Provider Identifier
1790784312
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF SOUTHERN KENTUCKY, INC
Practice address
5872 Scottsville Rd
Bowling Green, KY 42104-7853
Phone
(270) 746-9300
Fax
(270) 782-3496
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Community Based Hospice Care Agency 251G00000X 400006 KY
Community Based Hospice Care Agency 251G00000X KY Primary

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
44114015MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120229000297 KY Part A Provider - Hospice 0244238806 Practice locations: Bowling Green, KY

Hospice certification: CCN 181511

Legal name
HOSPICE OF SOUTHERN KENTUCKY, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 23, 1988
Last certification
Sep 5, 2019
Ownership / control type
Non-Profit - Other
Organization structure
OtherNon-profit
Enrollment address
5872 Scottsville Rd
Bowling Green, KY 42104-7853

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of Southern KentuckyCCN 181511 · All quality measures
Ownership
Non-Profit
Certified
Mar 23, 1988
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Southern Kentucky 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

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Hospice of Southern Kentucky, Inc Organization, Bowling Green, KY Non-profit Operational/Managerial Control Mar 23, 1988
Kenneth Whitley Individual Corporate Director Jul 18, 2022
Steven Jantz Individual Corporate DirectorCeo Jul 18, 2022
W-2 Managing EmployeeAd;Ceo Jul 18, 2022
Operational/Managerial Control Jul 18, 2022

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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

Affiliated clinicians 4

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1790784312",
    "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": "270-746-9300",
            "fax_number": "270-782-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF SOUTHERN KENTUCKY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "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": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KY",
            "license": "400006",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44114015",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.