Charter Healthcare of Northern Colorado, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CHARTER HEALTHCARE OF NORTHERN COLORADO, LLC

Doing business as

Charter Hospice of Northern Colorado

Practice address

1562 Taurus CT
Loveland, CO 80537-3280

Phone

(970) 667-2273

Fax

(888) 891-0585

NPI assigned

May 22, 2018

Last updated

Apr 28, 2022By 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

Sylvie Boal

Title

Compliance

Phone

(909) 644-4965

Specialties & licenses 1

Addresses

Other names 1

• Charter Hospice of Northern Colorado Doing business as

Locations

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.

• Brooke Hackler, PTA

  • Physical Therapy Assistant
  • Loveland, CO
  • NPI 1851004436
  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1104317429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 TAURUS CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373280",
            "telephone_number": "970-667-2273",
            "fax_number": "888-891-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 TAURUS CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373280",
            "telephone_number": "970-667-2273",
            "fax_number": "888-891-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER HEALTHCARE OF NORTHERN COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "909-644-4965"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charter Hospice of Northern Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Champion Supports LLC
• Grace Idell Chaparro, BA
• Brooke Pevny Chapman, LCSW
• Charlie Buckley
• Charter Healthcare of Northern Colorado, LLC (Phoenix Home Care)
• Charter Healthcare of Northern Colorado, LLC
• Eric Chase
• Jerry A Chase, MD
• Luis Gabriel Chavez, PA-C
• Michael Derrick Chavez, D.P.T.

• Community Based Hospice Care Agency in Loveland, CO
• Providers in Loveland, 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 Apr 28, 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.