Organization Active NPI

Veracare Hospice of South Denver LLC

  • Community Based Hospice Care Agency
  • Littleton, CO
National Provider Identifier
1174078570
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VERACARE HOSPICE OF SOUTH DENVER LLC
Practice address
26 W Dry Creek Cir
Ste 600, Office 635-636
Littleton, CO 80120-8063
Phone
(941) 704-7337
NPI assigned
Aug 16, 2016
Last updated
Jun 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Authorized official

Name
Steve Mikuls
Title
Ceo
Phone
(844) 900-8372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

26 W Dry Creek Cir
Ste 600, Office 635-636
Littleton, CO 80120-8063

Mailing address

PO Box 15123
Bradenton, FL 34280-5123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2018 Change of OwnershipThis provider was the seller Colorado Palliative & Hospice Care LLCCCN 061600, CO, NPI 1851896906

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1174078570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15123",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342805123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR",
            "address_2": "STE 600, OFFICE 635-636",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208063",
            "telephone_number": "941-704-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERACARE HOSPICE OF SOUTH DENVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "MIKULS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-900-8372"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.