Centercare Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CENTERCARE HOSPICE LLC

Practice address

4718 N Elizabeth St Ste E
Pueblo, CO 81008-2080

Phone

(719) 544-5891

Fax

(719) 281-3993

NPI assigned

Mar 19, 2020

Organization subpart

No

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

Authorized official

Name

Christine Marie Bartel

Title

Executive Director

Phone

(303) 594-5565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Hospice certification: CCN 061554

Legal name

CENTERCARE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 1, 2005

Last certification

Sep 22, 2021

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Jan 13, 2020 in CO

Enrollment address

1300 Fortino Blvd
Ste E&F
Pueblo, CO 81008-2077

Listed as

Centercare Hospice, LLCCCN 061554 · All quality measures

Ownership

For-Profit

Certified

Mar 1, 2005

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 7

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sridhar V Reddy, MD

  • Internal Medicine Physician
  • Colorado Springs, CO
  • NPI 1033268040

  5% Or Greater Direct Ownership Interest

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

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

• Frontier Hospice, LLC

  • Community Based Hospice Care Agency
  • Pueblo, CO
  • NPI 1770572737

  Acquired from, 2020-06-01

  CMS change of ownership

Practitioners 1

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

• Elizabeth A Miera, LCSW

  • Clinical Social Worker
  • Pueblo, CO
  • NPI 1295208858
  NPD (past)

Affiliated clinicians 2

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

• Chasity Shea Epperly, MD

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1609095470

  Hospice

  Care Compare affiliation
• Sridhar V Reddy, MD

  • Internal Medicine Physician
  • Colorado Springs, CO
  • NPI 1033268040

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1245866474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 KELLY JOHNSON BLVD STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203958",
            "telephone_number": "719-900-1398",
            "fax_number": "719-344-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 N ELIZABETH ST STE E",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082080",
            "telephone_number": "719-544-5891",
            "fax_number": "719-281-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERCARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "BARTEL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-594-5565"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Eye Care & Surgery PC
• Center for Eye Care & Surgery PC
• Center for Grief & Loss Counseling and Education
• Center Health Care Center
• Center of Surgical Excellence, LLC
• Centura Ventures, LLC (CS Pueblo Ctr Rehab)
• Rachael Marie Cera-Alinas, RN
• Olivia Cerda
• John Joseph Cernac, PHARMACIST
• Joann Cervantes

• Community Based Hospice Care Agency in Pueblo, CO
• Providers in Pueblo, 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 Nov 14, 2023; 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.