NPIMap

Organization Active NPI

Mount Evans Hospice, Inc.

  • Community Based Hospice Care Agency
  • Evergreen, CO
National Provider Identifier
1346284965
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0404 Issued in CO
Legal business name
MOUNT EVANS HOSPICE, INC.
Practice address
3081 Bergen Peak Dr
Evergreen, CO 80439-2200
Phone
(303) 674-6400
Fax
(303) 674-8813
NPI assigned
Jun 15, 2006
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Lydia Thangaiyan
Title
Interim President and Ceo
Phone
(949) 647-0423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0404 CO Primary

Addresses

Primary practice location

3081 Bergen Peak Dr
Evergreen, CO 80439-2200

Mailing address

3081 Bergen Peak Dr
Evergreen, CO 80439-2200
Phone (303) 674-6400

Other identifiers 1

IdentifierTypeStateIssuer
05800222MedicaidCO

Other names 2

  • Mount Evans Hospice, Inc. Other name
  • Mt. Evans Home Health Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080306000209 CO Part A Provider - Home Health Agency 1658456223 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Evergreen, CO
O20080306000220 CO Part A Provider - Hospice 1658456223 Practice locations: Evergreen, CO
O20141212001499 CO Part B Supplier - Clinic/Group Practice 1658456223 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Evergreen, CO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1346284965. Details of each certification follow.

Home health agency certification: CCN 067063

Legal name
MOUNT EVANS HOSPICE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1981
Last certification
Nov 8, 2018
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Nov 12, 1980 in CO
Enrollment address
3081 Bergen Peak Dr
Evergreen, CO 80439-2200

Hospice certification: CCN 061509

Legal name
MOUNT EVANS HOSPICE, INC.
Doing business as
MOUNT EVANS HOME HEALTH CARE AND HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 6, 1985
Last certification
Oct 8, 2020
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Nov 12, 1980 in CO
Enrollment address
3081 Bergen Peak Dr
Evergreen, CO 80439-2200

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mount Evans Home Health Care & HospiceCCN 067063 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jul 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Mount Evans Hospice, IncCCN 061509 · All quality measures
Ownership
Non-Profit
Certified
Jun 6, 1985
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3081 Bergen Peak Dr
Evergreen, CO 80439
Phone (303) 674-6400

3721 Evergreen Pkwy
Ste 9
Evergreen, CO 80439

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Carrie Leroy Individual W-2 Managing EmployeeManager, Exec Support & Office Nov 1, 2025
Kathy a Engel Individual W-2 Managing EmployeeAd; Jan 5, 2026
Lydia P Thangaiyan Individual W-2 Managing EmployeeAd; Nov 1, 2025
Operational/Managerial Control Jan 6, 2025
Operational/Managerial ControlInterim President & Ceo Nov 1, 2025 100%
Mount Evans Hospice, Inc. Organization, Evergreen, CO Non-profit Operational/Managerial Control Nov 1, 2025 100%
Jamie L Wilson Individual W-2 Managing EmployeeDirector of Hospice Nov 1, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1346284965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 BERGEN PEAK DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392200",
            "telephone_number": "303-674-6400",
            "fax_number": "303-674-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 BERGEN PEAK DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392200",
            "telephone_number": "303-674-6400",
            "fax_number": "303-674-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT EVANS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "THANGAIYAN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "INTERIM PRESIDENT AND CEO",
        "authorized_official_telephone_number": "949-647-0423"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CO",
            "license": "0404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05800222",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Evans Hospice, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mt. Evans Home Health Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mt. Evans Home Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.