Provider Demographics
NPI:1093491904
Name:HOSPARUS INC.
Entity Type:Organization
Organization Name:HOSPARUS INC.
Other - Org Name:HOSPARUS WESTERN KENTUCKY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF LEGAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:K
Authorized Official - Last Name:FIELDHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:JD, CHC SRNA
Authorized Official - Phone:502-456-6200
Mailing Address - Street 1:6200 DUTCHMANS LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-3271
Mailing Address - Country:US
Mailing Address - Phone:502-456-6200
Mailing Address - Fax:502-456-6655
Practice Address - Street 1:200 CLINIC DRIVE
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431
Practice Address - Country:US
Practice Address - Phone:270-326-4660
Practice Address - Fax:270-326-4669
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPARUS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-26
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based