Pro Care Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRO CARE HOSPICE INC

Practice address

3401 Quebec St
Ste 8400
Denver, CO 80207

Phone

(303) 879-1700

NPI assigned

Mar 31, 2022

Last updated

Oct 29, 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

Thomas Wilson Fender

Title

Ceo

Phone

(022) 370-2167

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023758539. Details of each certification follow.

• CCN 061623 Hospice · Active · Details

Hospice certification: CCN 061623

Legal name

PRO CARE HOSPICE INC

Doing business as

MONARCH HOSPICE OF COLORADO

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 5, 2023

Last certification

Jan 26, 2023

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 21, 2022 in CO

Enrollment address

3401 Quebec St
Ste 8400
Denver, CO 80207-2333

Listed as

Amg Hospice of ColoradoCCN 061623 · All quality measures

Certified

Feb 5, 2023

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 7

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Cori A Patel, MD

  • Emergency Medicine Physician
  • Greenwood Village, CO
  • NPI 1528011335

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Good Shepherd Hospice Care Inc.

  dba AMG Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Chandler, AZ
  • NPI 1760074249

  Tech-Fall Industries, LLC

  CMS ownership
• Hospice of Vegas Inc

  dba AMG Hospice of Las Vegas

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1386398683

  Tech-Fall Industries, LLC

  CMS 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.

• Cori A Patel, MD

  • Emergency Medicine Physician
  • Greenwood Village, CO
  • NPI 1528011335
  NPD

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1023758539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SOUTH SYRACUSE 9TH FL STE 960",
            "city": "DENVER,",
            "state": "CO",
            "postal_code": "80237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST",
            "address_2": "STE 8400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80207",
            "telephone_number": "303-879-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "FENDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "022-370-2167"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Healthcare Facilities
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• Etamar Prizament
• Carol Denise Prizznick, NURSE PRACTITIONER
• PRM of Colorado
• Pro Health One Inc
• Pro Health One Inc
• Proactive Health, Inc
• Proactive Pediatrics, LLC
• Proaxis Denver, LLC (Proaxis Therapy)

• Community Based Hospice Care Agency in Denver, CO
• Providers in Denver, CO by specialty
• Community Based Hospice Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.