Optum Palliative and Hospice Care of Pennsylvania, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

16951601 Issued in PA

Legal business name

OPTUM PALLIATIVE AND HOSPICE CARE OF PENNSYLVANIA, INC.

Practice address

700 American Avenue
Suite 206
King of Prussia, PA 19406

Phone

(610) 265-2006

Fax

(610) 265-2766

NPI assigned

May 3, 2007

Organization subpart

Yes

Parent organization

COLLABORATIVE CARE HOLDINGS, LLAs reported in NPPES

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

Authorized official

Name

Mr. John Enderle

Title

President

Phone

(860) 616-7221

Specialties & licenses 2

Addresses

Other names 1

• Hospice Inspiris of Pennsylvania, Inc. Other 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 Pennsylvania LLC

  • Community Based Hospice Care Agency
  • Lancaster, PA
  • NPI 1225588486

  Sold to, 2017-02-01

  CMS change of ownership

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1447472006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 WINDCROSS CT",
            "address_2": "SUITE 101",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-224-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 AMERICAN AVENUE",
            "address_2": "SUITE 206",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "610-265-2006",
            "fax_number": "610-265-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PALLIATIVE AND HOSPICE CARE OF PENNSYLVANIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLABORATIVE CARE HOLDINGS, LL",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "ENDERLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-616-7221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "16951601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Inspiris of Pennsylvania, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joy Omatta Moore
• Opeyemi Onasanya
• Kathryn Oneill, BCBA
• Optical Options of Valley Forge LLC
• Optical World NJ Corp
• Abbey Sullivan Orozco, DMD
• Allison Ortell
• Edward Oruch, PT
• Stephanie Oruska
• Stepheny Osei Akoto, DNP

• Community Based Hospice Care Agency in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Community Based Hospice Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.