Provider Demographics
NPI:1003892977
Name:HOSPICE & PALLIATIVE CARE OF THE OHIO VALLEY, INC
Entity Type:Organization
Organization Name:HOSPICE & PALLIATIVE CARE OF THE OHIO VALLEY, INC
Other - Org Name:HOSPICE OF WESTERN KENTUCKY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-926-7565
Mailing Address - Street 1:3419 WATHENS XING
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-7009
Mailing Address - Country:US
Mailing Address - Phone:270-926-7565
Mailing Address - Fax:270-685-0516
Practice Address - Street 1:3419 WATHENS XING
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-7009
Practice Address - Country:US
Practice Address - Phone:270-926-7565
Practice Address - Fax:270-685-0516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-21
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY400005251G00000X
363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY44030013Medicaid
KY44030013Medicaid