Optum Palliative and Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2002855 Issued in IL

Legal business name

OPTUM PALLIATIVE AND HOSPICE CARE, INC.

Practice address

1900 E Golf Rd FL 2
Schaumburg, IL 60173-5834

Phone

(847) 619-5888

Fax

(877) 771-4290

NPI assigned

Mar 25, 2010

Last updated

Nov 4, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

COLLABORATIVE CARE HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

John O. Enderle

Title

President and Ceo

Phone

(860) 221-0793

Specialties & licenses 2

Addresses

Other names 1

• Evercare Hospice, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1114241700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "telephone_number": "215-902-8241",
            "fax_number": "215-902-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E GOLF RD FL 2",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735834",
            "telephone_number": "847-619-5888",
            "fax_number": "877-771-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PALLIATIVE AND HOSPICE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLABORATIVE CARE HOLDINGS, LLC",
        "enumeration_date": "2010-03-25",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "ENDERLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "860-221-0793"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2002855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evercare Hospice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nissa Ophaso, DMD
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• Optimeyes Vision Care
• Optimized Life Project Academy, PC
• Optum Healthcare of Illinois, Inc.
• Edward Oriole I, L.C.P.C.
• Orthomidwest, PLLC
• Orthopaedic Spine Institute SC
• Eliska Osborn, PMHNP
• Michael J Osten, MD

• Community Based Hospice Care Agency in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.