HOSPICE OF LAKE CUMBERLAND, INC. (NPI# 1851494124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851494124 |
| Entity Type | Organization |
| Organization Name | HOSPICE OF LAKE CUMBERLAND, INC. |
| Other Organization Name | PALLIATIVE CARE OF LAKE CUMBERLAND |
| Practice Address |
100 Parkway Dr Somerset KY 42503-3450 |
| Mailing Address |
100 Parkway Drive Somerset KY 42503 |
| Practice Telephone | 6066794389 |
| Practice Fax Number | 6066792971 |
| Mailing Telephone | 6066794389 |
| Mailing Fax Number | 6066792971 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MR. BRIAN J DAVIS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6066794389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
KY | Allopathic & Osteopathic Physicians | |
| Y | 251G00000X | Hospice Care, Community Based | KY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 44100014 | 05 |
| Other Name | Type Code |
|---|---|
| Hospice of Lake Cumberland | Other Name - Individual/Organization |
| Palliative Care of Lake Cumberland | Other Name - Individual/Organization |
| Street Address |
100 PARKWAY DR |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021563 | Susan J Petrosky | Family Medicine | 100 Parkway Dr, Somerset, KY 42503-3450 | 2005-05-31 |
| 1831798511 | Jennifer Sue Carver | Nurse Practitioner | 100 Parkway Dr, Somerset, KY 42503-3450 | 2020-10-22 |
| 1871029181 | Nina F Booth | Nurse Practitioner | 100 Parkway Dr, Somerset, KY 42503-3450 | 2017-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912160490 | A Home Care | Hospice Care, Community Based | 97 Almond Dr, Somerset, NJ 08873-4227 | 2008-07-05 |
| 1578568747 | Upmc Somerset | Hospice Care, Community Based | 1474 N Center Avenue, Somerset, PA 15501-2196 | 2005-06-15 |
| 1336125459 | The Martin and Edith Stein Hospice | Hospice Care, Community Based | 49 Veronica Ave, Suite 206, Somerset, NJ 08873-6802 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073166153 | Arh Tug Valley Health Services, Inc. | Hospice Care, Community Based | 93 Dewey St, Prestonsburg, KY 41653-7923 | 2019-07-18 |
| 1245787191 | Murray Calloway Public Hospital Corporation | Hospice Care, Community Based | 1959 State Route 94 W, Murray, KY 42071-4748 | 2016-09-08 |
| 1164833778 | Rogers At Home Inc | Hospice Care, Community Based | 221 Executive Park, Louisville, KY 40207-4202 | 2014-05-16 |
| 1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
| 1891836235 | Baptist Health Madisonville, Inc | Hospice Care, Community Based | 418 N Scott St, Madisonville, KY 42431 | 2007-02-09 |
| 1730248063 | Cumberland Valley District Health Department Hospice | Hospice Care, Community Based | Us Highway 290, Mc Kee, KY 40447-0670 | 2006-12-06 |
| 1962584870 | Flaget Healthcare Inc | Hospice Care, Community Based | 202 W. Stephen Foster Avenue, Suite A, Bardstown, KY 40004 | 2006-10-19 |
| 1689695322 | St Elizabeth Medical Center, Inc | Hospice Care, Community Based | 483 South Loop Rd, Edgewood, KY 41017 | 2006-07-21 |
| 1518927334 | Appalachian Hospice Care, Inc. | Hospice Care, Community Based | 1414 S Mayo Trl, Pikeville, KY 41501-2206 | 2006-03-24 |
| 1346200185 | Hospice of Big Sandy, Inc. | Hospice Care, Community Based | 1520 Ky Route 1428, Hagerhill, KY 41222-8646 | 2006-03-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.