- Enrollment id
- O20091026000161
- Enrollment state
- KY
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1033328232
- Multiple npi flag
- N
- Ccn
- 181526
- Associate id
- 9830279439
- Organization name
- HOSPICE OF THE BLUEGRASS, INC.
- Doing business as name
- MOUNTAIN COMMUNITY HOSPICE
- Incorporation date
- 1980-09-25
- Incorporation state
- KY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 57 DENNIS SANDLIN, MD COVE
- City
- HAZARD
- State
- KY
- Zip code
- 417015902