Provider Demographics
NPI:1518926369
Name:COMMUNITY HOSPICE INC
Entity Type:Organization
Organization Name:COMMUNITY HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:606-329-1890
Mailing Address - Street 1:1480 CARTER AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7546
Mailing Address - Country:US
Mailing Address - Phone:606-329-1890
Mailing Address - Fax:606-329-0018
Practice Address - Street 1:1480 CARTER AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7546
Practice Address - Country:US
Practice Address - Phone:606-329-1890
Practice Address - Fax:606-329-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0820008Medicaid
KY65941916OtherMEDICAID PHYSICIAN GROUP
KY44010015Medicaid
=========OtherAPWU HEALTH PLAN
KY44010015Medicaid
=========OtherAARP
=========OtherBUREAU OF WORKERS COMP
=========OtherCIGNA
=========OtherMCM MAXCARE PPO
OH0820008Medicaid
=========OtherENERGY EMPL OCCUP ILLNESS
=========OtherINTERAMERICAS INS CORP
KY65941916OtherMEDICAID PHYSICIAN GROUP
=========OtherACORDIA
=========OtherBOILERMAKERS NATL HEALTH
=========OtherCENTRAL BENEFITS
=========OtherMTN STATE BCBS
=========OtherUNITED HEALTH CARE
=========OtherCENTRAL BENEFITS