Organization Active NPI

Craft Hospice LLC

  • Community Based Hospice Care Agency
  • Boulder, CO
National Provider Identifier
1114540747
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CRAFT HOSPICE LLC
Practice address
1650 38TH St Ste 101E
Boulder, CO 80301-2623
Phone
(720) 274-5974
Fax
(720) 274-5977
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Luther Dwain Stanton
Title
President
Phone
(720) 274-5974

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1650 38TH St Ste 101E
Boulder, CO 80301-2623

Mailing address

1650 38TH St Ste 101E
Boulder, CO 80301-2623
Phone (720) 274-5974

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL familyhh.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231213002520 CO Part B Supplier - Clinic/Group Practice 3577986660 Receives reassigned benefits from 1 practitioner
Practice locations: Boulder, CO

Care Compare: Hospice

Medicare Care Compare
Listed as
Craft Hospice LLCCCN 061614
Ownership
For-Profit
Certified
Feb 24, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
Family Home Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1650 38th St
#101E
Boulder, CO 80301
Phone (720) 274-5974

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1114540747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 38TH ST STE 101E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012623",
            "telephone_number": "720-274-5974",
            "fax_number": "720-274-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 38TH ST STE 101E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012623",
            "telephone_number": "720-274-5974",
            "fax_number": "720-274-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAFT HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "LUTHER",
        "authorized_official_middle_name": "DWAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-274-5974"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "familyhh.net",
            "affiliation": "N",
            "address_1": "1790 30th St Ste 350",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803011071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.