NPIMap

Organization Active NPI

Sangre de Cristo Community Care Joni Fair Hospice House

Doing business as Sangre de Cristo Community Care

  • Community Based Hospice Care Agency
  • Pueblo, CO
National Provider Identifier
1295306132
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SANGRE DE CRISTO COMMUNITY CARE JONI FAIR HOSPICE HOUSE
Doing business as
Sangre de Cristo Community Care
Practice address
1107 Pueblo Boulevard Way
Pueblo, CO 81005-1595
Phone
(719) 296-6205
Fax
(719) 545-4715
NPI assigned
Jul 1, 2021
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SANGRE DE CRISTO HOSPICE & PALLIATIVE CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Melinda Egging
Title
Ceo
Phone
(719) 542-0032

Specialties & licenses 1

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

Addresses

Primary practice location

1107 Pueblo Boulevard Way
Pueblo, CO 81005-1595

Mailing address

1107 Pueblo Boulevard Way
Pueblo, CO 81005-1595
Phone (719) 296-6205

Other identifiers 1

IdentifierTypeStateIssuer
40155030MedicaidCO

Other names 1

  • Sangre de Cristo Community Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sangre de Cristo Hospice6 organizations share this tax ID, including this one
Part of
Sangre de Cristo Hospice

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1295306132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 PUEBLO BOULEVARD WAY",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051595",
            "telephone_number": "719-296-6205",
            "fax_number": "719-545-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 PUEBLO BOULEVARD WAY",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051595",
            "telephone_number": "719-296-6205",
            "fax_number": "719-545-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGRE DE CRISTO COMMUNITY CARE JONI FAIR HOSPICE HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANGRE DE CRISTO HOSPICE & PALLIATIVE CARE",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "EGGING",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-542-0032"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40155030",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sangre de Cristo Community Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sangre de Cristo Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.