Provider Demographics
NPI:1104879105
Name:HOSPICE CARE PLUS, INC
Entity type:Organization
Organization Name:HOSPICE CARE PLUS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-986-1500
Mailing Address - Street 1:350 ISAACS LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2824
Mailing Address - Country:US
Mailing Address - Phone:859-986-1500
Mailing Address - Fax:859-986-2546
Practice Address - Street 1:350 ISAACS LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2824
Practice Address - Country:US
Practice Address - Phone:859-986-1500
Practice Address - Fax:888-265-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY400014207RH0002X, 315D00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY400014OtherLICENSE NO.
KY44076016Medicaid
KY400014OtherLICENSE NO.
KY9539Medicare ID - Type UnspecifiedMEDICARE B