Active NPI
Suncrest Hospice LLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- SUNCREST HOSPICE LLC
- Practice address
- 777 E Speer Blvd Ste 200
Denver, CO 80203-4263 - Phone
- (720) 941-5580
- Fax
- (720) 941-0659
- NPI assigned
- Jul 21, 2017
- Organization subpart
- Yes
- Parent organization
- SUNCREST HOSPICE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Godfrey
- Title
- Cfo
- Phone
- (801) 849-0486
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
777 E Speer Blvd Ste 200
Denver, CO 80203-4263
Mailing address
1275 E Fort Union Blvd Ste 210
Midvale, UT 84047-1885
Phone (801) 849-0486
Other names 1
- Suncrest Palliative Colorado
National Provider Directory
National Provider Directory- Part of
- Suncrest Hospice LLC
Locations
7660 Goddard St
Ste 100
Colorado Springs, CO 80920
Phone (719) 358-7171
311 Steele St
#225
Denver, CO 80206
Phone (720) 941-5580
5950 S Willow Dr
Ste 306
Greenwood Village, CO 80111
Phone (720) 941-5580
1721 W US Highway 50
Ste 200
Pueblo, CO 81008
Phone (719) 924-8424
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community Based Hospice Care Agency
- Greenwood Village, CO
- NPI 1669767968
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Colorado Springs, CO
- NPI 1366094146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500595200000",
"number": "1043733934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 E FORT UNION BLVD STE 210",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471885",
"telephone_number": "801-849-0486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E SPEER BLVD STE 200",
"city": "DENVER",
"state": "CO",
"postal_code": "802034263",
"telephone_number": "720-941-5580",
"fax_number": "720-941-0659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNCREST HOSPICE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUNCREST HOSPICE, LLC",
"enumeration_date": "2017-07-21",
"last_updated": "2017-07-21",
"status": "A",
"authorized_official_last_name": "GODFREY",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "801-849-0486"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Suncrest Palliative Colorado",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.