Fremont Regional Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FREMONT REGIONAL HOSPICE

Practice address

1439 Main St
Canon City, CO 81212-3923

Phone

(719) 275-4315

Fax

(719) 275-8315

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Michelle L Quinn

Title

Administrator/President

Phone

(719) 275-4315

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Hospice certification: CCN 061562

Legal name

FREMONT REGIONAL HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 15, 2007

Last certification

Sep 16, 2021

Ownership / control type

Other

Organization structure

CorporationNon-profit

Incorporated

Jun 14, 2005 in CO

Enrollment address

1439 Main St
Canon City, CO 81212-3923

Listed as

Fremont Regional HospiceCCN 061562

Ownership

Non-Profit

Certified

Mar 15, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Marc A Sindler, MD

  • Family Medicine Physician
  • Canon City, CO
  • NPI 1417925926

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1124234844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812150246",
            "telephone_number": "719-275-4315",
            "fax_number": "719-275-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123923",
            "telephone_number": "719-275-4315",
            "fax_number": "719-275-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT REGIONAL HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "719-275-4315",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17D459",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Foster, RDH
• Foxtrot Anesthesia
• Susan Katherine Frady, FNP
• Margaret Frasure, LCSW
• Fremont County
• Fresh Start Counseling LLC
• Robert Furby, M.S. FAAA
• Fusion Functional Wellness
• Robyn M. Gallegos, LMT
• Donna Galvagni, LMT

• Community Based Hospice Care Agency in Canon City, CO
• Providers in Canon City, 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 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.