Provider Demographics
NPI:1649492026
Name:HOSPICE OF HOPE, INC.
Entity type:Organization
Organization Name:HOSPICE OF HOPE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:FLAUGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-759-4050
Mailing Address - Street 1:909 KENTON STATION DR
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-9616
Mailing Address - Country:US
Mailing Address - Phone:606-759-4050
Mailing Address - Fax:606-759-1207
Practice Address - Street 1:909 KENTON STATION DR
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-9616
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:2007-05-03
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X, 363LF0000X, 363LP2300X, 207QH0002X
KY3765P363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100002480Medicaid
KY00430002Medicare PIN