Divine Mercy Supportive Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

17M599 Issued in 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

Last updated

Apr 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Lundy

Title

Ceo

Phone

(303) 357-2540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

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

• DMSC Management Partners Incorporated

  dba CompleteCO Hospice

  • Community Based Hospice Care Agency
  • Aurora, CO
  • NPI 1154848240

  Sold to, 2017-05-31

  CMS change of ownership

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1376978833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY",
            "address_2": "#220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091558",
            "telephone_number": "303-357-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 PECOS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112552",
            "telephone_number": "303-357-2540",
            "fax_number": "720-398-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY SUPPORTIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-357-2540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CO",
            "license": "17M599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Landau Painter Diver, DPT
• Diversified Chiropractic PLLC
• Diversified Medical Transportation LLC
• Diversified Radiology of Colorado, PC (Interventional Clinic)
• Lucia Divieste-Severtson, LPC
• Divine Shyne Therapy, P.L.L.C.
• Divine Support Center LLC
• Anne Marie Divine, LCSW
• Division of Outpatient Services, CDHS
• Division of Regional Centers

• Community Based Hospice Care Agency in Denver, CO
• Providers in Denver, 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 Apr 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.