Provider Demographics
NPI:1063451979
Name:HOSPICE OF HOPE, INC.
Entity Type:Organization
Organization Name:HOSPICE OF HOPE, INC.
Other - Org Name:CARE CENTER AT KENTON POINTE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:M
Authorized Official - Last Name:TROVATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-759-4050
Mailing Address - Street 1:909 KENTON STATION RD
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-9609
Mailing Address - Country:US
Mailing Address - Phone:606-759-4050
Mailing Address - Fax:606-759-1207
Practice Address - Street 1:1435 KENTON POINTE WAY
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056
Practice Address - Country:US
Practice Address - Phone:606-759-4050
Practice Address - Fax:606-759-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY400033251G00000X
KY400047315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY44081016Medicaid
KY181519Medicare Oscar/Certification