Divine Mercy Supportive Care
Organization Active NPI Community Based Hospice Care Agency · Denver, CO
NPI 1376978833 · NPPES record last updated Apr 29, 2016
Key facts
- NPI
- 1376978833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 17M599 (CO)
- Legal business name
- DIVINE MERCY SUPPORTIVE CARE
- Practice address
- 4045 Pecos St
Denver, CO 80211-2552 - Phone
- (303) 357-2540
- Fax
- (720) 398-3490
- NPI assigned
- Sep 3, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Kevin Lundy
- Title
- Ceo
- Phone
- (303) 357-2540
Change of ownership 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| May 31, 2017 | Change of Ownership |
Complete Co Hospice |
National Provider Directory
Locations
303 S Broadway
#220
Denver, CO 80209
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 17M599 | CO | Yes |
Addresses
Primary practice location
4045 Pecos St
Denver, CO 80211-2552
Mailing address
303 S Broadway
#220
Denver, CO 80209-1558
Phone (303) 357-2540
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17M599 | Other | CO | STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT |
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All providers in Denver, CO · Community Based Hospice Care Agency in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.