Optum Palliative and Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

7M6K Issued in MA

Legal business name

OPTUM PALLIATIVE AND HOSPICE CARE, INC.

Practice address

950 Winter St
Suite 4830
Waltham, MA 02451-1424

Phone

(781) 472-8640

Fax

(781) 472-8747

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

John O. Enderle

Title

President/Ceo

Phone

(860) 221-0793

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Evercare Hospice, Inc. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jatin K Dave, MD, MPH

  • Geriatric Medicine (Internal Medicine) Physician
  • Boston, MA
  • NPI 1104010958
  NPD (past)
• Kathleen Faulkner, MD

  • Pediatric Hematology & Oncology Physician
  • Westwood, MA
  • NPI 1699843029
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1215966353",
    "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": "950 WINTER ST",
            "address_2": "SUITE 4830",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511424",
            "telephone_number": "781-472-8640",
            "fax_number": "781-472-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PALLIATIVE AND HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "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/CEO",
        "authorized_official_telephone_number": "860-221-0793"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "7M6K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608793",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evercare Hospice, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• On Call Treatment, LLC
• Onco Pharmaceutical Services of Ma, LLC
• Oncomed Pharmaceutical Services of Ma, LLC
• Oped, Inc.
• Oped, LLC
• Kristina E Orio, D.O.
• Rabiatu Orlandimeje
• Brittany Orlando
• Gregory M. Orlowski, MD, PHD
• Sarah Elizabeth Orton, FNP

• Community Based Hospice Care Agency in Waltham, MA
• Providers in Waltham, MA by specialty
• Community Based Hospice Care Agency in Massachusetts

• 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.