Organization Active NPI

Berkley Palliative Care and Hospice, LLC

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1093466690
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC
Doing business as
Berkley Palliative Care
Practice address
10697 E Dartmouth Ave
Aurora, CO 80014-2616
Phone
(303) 758-2000
Fax
(303) 758-2009
NPI assigned
Jan 14, 2022
Organization subpart
Yes
Parent organization
BERKLEY PALLIATIVE CARE AND HOSPICE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Michelle Donnay, JD
Title
Cfo
Phone
(303) 758-2000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X
Community/Behavioral Health Agency 251S00000X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X

Addresses

Primary practice location

10697 E Dartmouth Ave
Aurora, CO 80014-2616

Mailing address

10697 E Dartmouth Ave
Aurora, CO 80014-2616
Phone (303) 758-2000

Other identifiers 1

IdentifierTypeStateIssuer
9000155355MedicaidCO

Other names 1

  • Berkley Palliative Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Berkley Palliative Care and Hospice LLC2 organizations share this tax ID, including this one
Part of
Berkley Palliative Care and Hospice LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1093466690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10697 E DARTMOUTH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142616",
            "telephone_number": "303-758-2000",
            "fax_number": "303-758-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10697 E DARTMOUTH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142616",
            "telephone_number": "303-758-2000",
            "fax_number": "303-758-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKLEY PALLIATIVE CARE AND HOSPICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERKLEY PALLIATIVE CARE AND HOSPICE, LLC",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "DONNAY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-758-2000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000155355",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkley Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.