Organization Active NPI

Veracare Hospice of Colorado Springs LLC

  • Community Based Hospice Care Agency
  • Colorado Springs, CO
National Provider Identifier
1427405935
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VERACARE HOSPICE OF COLORADO SPRINGS LLC
Practice address
5445 Mark Dabling Blvd Ste 205
Colorado Springs, CO 80918-3826
Phone
(719) 419-5595
NPI assigned
May 16, 2016
Last updated
Jun 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Authorized official

Name
Stephen M Mikuls
Title
President
Phone
(913) 544-8800

Specialties & licenses 1

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

Addresses

Primary practice location

5445 Mark Dabling Blvd Ste 205
Colorado Springs, CO 80918-3826

Mailing address

5266 Office Park Blvd
Ste 204
Bradenton, FL 34203-3442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

5445 Mark Dabling Blvd
Ste 205
Colorado Springs, CO 80918
Phone (719) 419-5595

5266 Office Park Blvd
Ste 204
Bradenton, FL 34203

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2018 Change of OwnershipThis provider was the seller Colorado Palliative & Hospice Care of Colorado Springs LLCCCN 061595, CO, NPI 1528563673

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1427405935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 OFFICE PARK BLVD",
            "address_2": "STE 204",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MARK DABLING BLVD STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183826",
            "telephone_number": "719-419-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERACARE HOSPICE OF COLORADO SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "MIKULS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-544-8800"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.