Optum Palliative and Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

E3732 Issued in NU

Legal business name

OPTUM PALLIATIVE AND HOSPICE CARE, INC.

Practice address

33 Inverness Center Parkway
Hoover, AL 35242

Phone

(205) 437-8655

Fax

(205) 437-8510

NPI assigned

Jul 5, 2006

Last updated

Nov 4, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

COLLABORATIVE CARE HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

John O Enderle

Title

President/Ceo

Phone

(860) 221-0793

Specialties & licenses 2

Addresses

Other names 1

• Evercare Hospice, Inc. Former legal business name

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.

• Compassus Op of Alabama LLC

  dba Compassus Hospice and Palliative Care-Birmingham

  • Community Based Hospice Care Agency
  • Birmingham, AL
  • NPI 1588114839

  Sold to, 2017-04-01

  CMS change of ownership

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1437189131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "telephone_number": "205-437-8655",
            "fax_number": "205-437-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 INVERNESS CENTER PARKWAY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-437-8655",
            "fax_number": "205-437-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PALLIATIVE AND HOSPICE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLABORATIVE CARE HOLDINGS, LLC",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "ENDERLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-221-0793"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": "E3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evercare Hospice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Braden Wright Olive, DPT
• Samantha Oliver
• One Medical Group, P.C. (One Medical)
• Option Care Enterprises Inc (Option Care)
• Option Care Enterprises, Inc. (Option Care)
• Trixie Michea Ortega
• Orthopaedic Spine & Joint Center
• Orthosports Associates LLC
• Orthosports Associates LLC
• Orthosports Associates LLC (OrthoSports Associates)

• Community Based Hospice Care Agency in Hoover, AL
• Providers in Hoover, AL by specialty
• Community Based Hospice Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.