NPIMap

Organization Active NPI

Heritage Hospice, Inc.

  • Community Based Hospice Care Agency
  • Danville, KY
National Provider Identifier
1861495954
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
400010 Issued in KY
Legal business name
HERITAGE HOSPICE, INC.
Practice address
120 Enterprise Dr
Danville, KY 40422-1870
Phone
(859) 236-2425
Fax
(859) 236-6152
NPI assigned
May 23, 2005
Last updated
Feb 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Ms. Janelle Lane Wheeler, L.C.S.W.
Title
Executive Director
Phone
(859) 236-2425

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 400010 KY Primary
Acute Care Clinical Nurse Specialist 364SA2100X 400010 KY
Adult Health Clinical Nurse Specialist 364SA2200X 400010 KY
Chronic Care Clinical Nurse Specialist 364SC2300X 400010 KY
Gerontology Clinical Nurse Specialist 364SG0600X 400010 KY
Long-Term Care Clinical Nurse Specialist 364SL0600X 400010 KY
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 400010 KY

Addresses

Primary practice location

120 Enterprise Dr
Danville, KY 40422-1870

Mailing address

PO Box 1213
Danville, KY 40423-1213
Phone (859) 236-2425

Other identifiers 2

IdentifierTypeStateIssuer
44011013MedicaidKY
000000175142OtherKYPROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081119000192 KY Part A Provider - Hospice 2961562020 Practice locations: Danville, KY
O20140714002188 KY Part B Supplier - Clinic/Group Practice 2961562020 Receives reassigned benefits from 5 practitioners
Practice locations: Danville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861495954. Details of each certification follow.

Hospice certification: CCN 181515

Legal name
HERITAGE HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 16, 1988
Last certification
Feb 15, 2018
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jun 4, 1980 in KY
Enrollment address
120 Enterprise Drive
Danville, KY 40422-1870

Care Compare: Hospice

Medicare Care Compare
Listed as
Heritage Hospice, IncCCN 181515 · All quality measures
Ownership
Non-Profit
Certified
Dec 16, 1988
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1082337Heritage Hospice, Inc120 Enterprise St, Danville, KY 40422Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory

Locations

120 Enterprise Dr
Danville, KY 40422
Phone (859) 236-2425

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
Michael Denney Individual Corporate OfficerChair Jul 1, 2019 5%
Donna M Powell Individual Corporate DirectorVice-Chair Jul 17, 2012 5%
Matthew Baker Individual Corporate DirectorExecutive Director Sep 5, 2025 5%
W-2 Managing EmployeeExecutive Director Oct 28, 2008 5%

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1861495954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1213",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404231213",
            "telephone_number": "859-236-2425",
            "fax_number": "859-236-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ENTERPRISE DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221870",
            "telephone_number": "859-236-2425",
            "fax_number": "859-236-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "859-236-2425",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KY",
            "license": "400010",
            "primary": true
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "KY",
            "license": "400010",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "KY",
            "license": "400010",
            "primary": false
        },
        {
            "code": "364SC2300X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Chronic Care",
            "state": "KY",
            "license": "400010",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "KY",
            "license": "400010",
            "primary": false
        },
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "KY",
            "license": "400010",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "400010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44011013",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "000000175142",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.