Provider Demographics
NPI:1336295310
Name:HOSPARUS INC.
Entity Type:Organization
Organization Name:HOSPARUS INC.
Other - Org Name:HOSPARUS HEALTH
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:
Authorized Official - Last Name:FIELDHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:JC, CHC SRNA
Authorized Official - Phone:502-727-9739
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:502-456-6275
Practice Address - Street 1:502 HAUSFELDT LN
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-2221
Practice Address - Country:US
Practice Address - Phone:002-640-5218
Practice Address - Fax:024-566-6555
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPARUS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-25
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07-005121-1251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200311110Medicaid
IN151504Medicare PIN
IN=========OtherHUMANA