Organization
HOSPICE OF THE BLUEGRASS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY SHRIVER HODGE (VP FINANCE, CFO)
(859) 276-5344
Entity
Organization
Contact information
Practice address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3667
(859) 276-5344
(859) 296-4101
Mailing address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3667
(859) 276-5344
(859) 296-4101
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
41461
KY
251J00000X
Nursing Care Agency
—
KY
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013054626
NPI
KY
05
—
65928418
—
KY
05
—
7100298800
—
KY
Enumeration date
04/23/2010
Last updated
04/21/2020
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