HOSPICE OF SOUTHERN KENTUCKY INC
NPI 1366742256
Family Medicine - Hospice and Palliative Medicine in Bowling Green, KY

Active since October 26, 2010CLIA 18D1089165 · Waiver
5872 SCOTTSVILLE RD, BOWLING GREEN, KY 42104(270) 782-3402(270) 782-3496 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 4, 2026, Apr 30, 2026, Nov 12, 2024 (3 updates tracked since 2024).

About Hospice Of Southern Kentucky Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOSPICE OF SOUTHERN KENTUCKY INC (NPI 1366742256), doing business as Palliative Care Of Southern Kentucky, is a healthcare organization registered as a hospice and palliative medicine in Bowling Green, Kentucky and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through September 10, 2028 and lists Steven Jantz, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366742256
Entity TypeOrganization
Primary Taxonomy207QH0002X
Legal Business NameHOSPICE OF SOUTHERN KENTUCKY INC
Location Address5872 SCOTTSVILLE RDBowling Green, KY 42104-7853
Mailing Address5872 Scottsville RdBowling Green, KY 42104-7853 · (270) 746-9300 · Fax (270) 782-3496
Fax(270) 782-3496
Organization SubpartYesParent: Hospice Of Southern Kentucky, Inc.
Authorized OfficialSteven JantzExecutive Director · (270) 746-9300
Enumeration DateOctober 26, 2010
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1366742256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
5872 SCOTTSVILLE RD, Bowling Green, KY 42104

Other Names 1

Doing Business AsPalliative Care Of Southern Kentucky

Other Identifiers 1

Medicaid7101013060KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hospice Of Southern Kentucky Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Hospice Of Southern Kentucky Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Vascular Surgery
NPI 1386643666
5872 SCOTTSVILLE RD
Bowling Green, KY 42104
(270) 746-9300
✔ PECOSSame address
Nurse Practitioner
NPI 1538932959
5872 SCOTTSVILLE RD
Bowling Green, KY 42104
(270) 746-9300
✔ PECOS0.1 mi
Internal Medicine
NPI 1467450635
990 WILKINSON TRCE
Bowling Green, KY 42103
(270) 781-4043
✔ PECOS✔ Accepts Medicare3.8 mi
Internal Medicine
NPI 1518963974
201 PARK ST
Bowling Green, KY 42101
(270) 781-5111
✔ PECOS5.8 mi
Anesthesiology
NPI 1982666830
101 MANNING DR
Chapel Hill, NC 27514
(919) 966-7890
✔ PECOS✔ Accepts Medicare416 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1089165

Hospice Of Southern Ky Inc · Bowling Green, KY
Active · expires Sep 10, 2028
CLIA Number18D1089165
Laboratory TypeHospice
Certificate Effective DateSeptember 11, 2026
Certificate Expiration DateSeptember 10, 2028
Laboratory DirectorMs. Brittany Johnson
Laboratory Phone(270) 782-9300
Laboratory LocationHospice Of Southern Ky Inc5872 Scottsville Road, Bowling Green, KY 42104
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hospice Of Southern Kentucky Inc's NPI number?

The NPI number for Hospice Of Southern Kentucky Inc is 1366742256. It was assigned to this organization in the NPPES registry on October 26, 2010. The provider is doing business as Palliative Care of Southern Kentucky.

Where is Hospice Of Southern Kentucky Inc located?

Hospice Of Southern Kentucky Inc is located at 5872 Scottsville Rd, Bowling Green, KY 42104. The listed phone number is (270) 782-3402.

What is Hospice Of Southern Kentucky Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Hospice Of Southern Kentucky Inc enrolled in Medicare?

Yes. Hospice Of Southern Kentucky Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hospice Of Southern Kentucky Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Hospice Of Southern Kentucky Inc, in Anesthesiology, Internal Medicine, Nurse Practitioner and Vascular Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hospice Of Southern Kentucky Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1089165) is associated with this NPI, valid through September 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hospice Of Southern Kentucky Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Hospice Of Southern Kentucky Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hospice Of Southern Kentucky Inc was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.