Hospice of Cumberland County, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

100226882 Issued in TN

Legal business name

HOSPICE OF CUMBERLAND COUNTY, INC.

Practice address

30 E Adams St
Crossville, TN 38555-4802

Phone

(931) 484-4748

Fax

(931) 456-7882

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Cash

Title

Executive Director

Phone

(931) 484-4748

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Hospice certification: CCN 441511

Legal name

HOSPICE OF CUMBERLAND COUNTY INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 12, 1988

Last certification

Jan 12, 2022

Ownership / control type

Proprietary - Other

Organization structure

CorporationNon-profit

Incorporated

Oct 27, 1987 in TN

Enrollment address

30 East Adams Street
Crossville, TN 38555-4802

Listed as

Hospice of Cumberland County IncCCN 441511

Ownership

For-Profit

Certified

Jul 12, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Stephen Dennis Clark, M.D.

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1275727927

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 5

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

• Stephen Dennis Clark, M.D.

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1275727927

  Hospice

  Care Compare affiliation
• Joanna Cher Gibbs, MD

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1558372862

  Hospice

  Care Compare affiliation
• Mark Neal Hendrixson, MD

  • Medical Oncology Physician
  • Crossville, TN
  • NPI 1457469223

  Hospice

  Care Compare affiliation
• Kimberly S Peaslee, M.D.

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1174522049

  Hospice

  Care Compare affiliation
• Elizabeth M Petty, MD

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1477661361

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992754436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E ADAMS ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554802",
            "telephone_number": "931-484-4748",
            "fax_number": "931-456-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E ADAMS ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554802",
            "telephone_number": "931-484-4748",
            "fax_number": "931-456-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF CUMBERLAND COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-484-4748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TN",
            "license": "100226882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098081",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Diane Hoover, B. ED., OTD, OTR/L
• Hunter Blake Horton
• Brittany Houston
• Vickie Ann Houston, RN
• Benjamin A Howe, DPT
• Megan E Huddleston, PA-C
• Laura Lynn Hughes-Hudgins, LISW-S

• Community Based Hospice Care Agency in Crossville, TN
• Providers in Crossville, TN by specialty
• Community Based Hospice Care Agency in Tennessee

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.