A Peaceful Journey Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

A PEACEFUL JOURNEY HOSPICE, LLC

Doing business as

A Peaceful Journey Hospice

Practice address

2851 S Parker Rd Ste 1130
Aurora, CO 80014-2732

Phone

(303) 755-0915

NPI assigned

Jun 7, 2021

Last updated

Jun 14, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Brown, RNNPI 1033786447

Title

Ceo/ Administrator

Phone

(480) 358-7633

Specialties & licenses 1

Addresses

Other names 1

• A Peaceful Journey Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003483330. Details of each certification follow.

• CCN 061622 Hospice · Active · Details

Hospice certification: CCN 061622

Legal name

A PEACEFUL JOURNEY HOSPICE, LLC

Doing business as

A PEACEFUL JOURNEY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 28, 2022

Last certification

Sep 21, 2022

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Jan 16, 2021 in CO

Enrollment address

2851 S Parker Rd
Ste 1130
Aurora, CO 80014-2732

Listed as

A Peaceful Journey HospiceCCN 061622 · All quality measures

Certified

Sep 28, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Brown, RN

  • Community Based Hospice Care Agency
  • Aurora, CO
  • NPI 1033786447

  Hospice Care, Community Based

  NPD Authorized official

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Hong Chang, NP

  • Gerontology Nurse Practitioner
  • Golden, CO
  • NPI 1720458524

  Hospice

  Care Compare affiliation
• Tamara Deanne Drees, NP

  • Nurse Practitioner
  • Lakewood, CO
  • NPI 1609849090

  Hospice

  Care Compare affiliation
• Stanton Richard Elzi, MD

  • Internal Medicine Physician
  • Wheat Ridge, CO
  • NPI 1417035502

  Hospice

  Care Compare affiliation
• Emily Clare Kubovic, FNP-C

  • Family Nurse Practitioner
  • Wheat Ridge, CO
  • NPI 1023586468

  Hospice

  Care Compare affiliation
• Kyle William Mueller, DNP, APRN, A-GNP-C

  • Gerontology Nurse Practitioner
  • Wheat Ridge, CO
  • NPI 1104434935

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1003483330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 S PARKER RD STE 1130",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142732",
            "telephone_number": "303-755-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S PARKER RD STE 1130",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142732",
            "telephone_number": "303-755-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PEACEFUL JOURNEY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "480-358-7633",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Peaceful Journey Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Peaceful Journey Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Aurora, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.