NPIMap

Organization Active NPI

Park Point Healthcare LLC

Doing business as Pasco/SW Hospice

  • Community Based Hospice Care Agency
  • Cortez, CO
National Provider Identifier
1508448424
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PARK POINT HEALTHCARE LLC
Doing business as
Pasco/SW Hospice
Practice address
2208 E Main St
Cortez, CO 81321-4222
Phone
(970) 565-6833
NPI assigned
Apr 21, 2021
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

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

Addresses

Primary practice location

2208 E Main St
Cortez, CO 81321-4222

Mailing address

45 S Washington St
Cortez, CO 81321-3737
Phone (970) 565-6833

Other practice location 1

1075 Main Ave Ste 223
Durango, CO 81301-5294
Phone (970) 247-1211

Other names 1

  • Pasco/SW Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210708000465 CO Part A Provider - Hospice 6305245101 Practice locations: Cortez, CO; Durango, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508448424. Details of each certification follow.

Hospice certification: CCN 061628

Legal name
PARK POINT HEALTHCARE LLC
Doing business as
PASCO/SW HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 5, 2023
Last certification
Jun 1, 2023
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Mar 1, 2021 in NV
Enrollment address
2208 E Main St
Cortez, CO 81321-4222

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Pasco/SW HospiceCCN 061628 · All quality measures
Certified
Jul 5, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Park Point Healthcare LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2021 100%
Charles Cheatham Individual Contracted Managing EmployeeMedical Director Sep 5, 2023
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Scott Hollingshead Individual W-2 Managing EmployeeAd; Feb 20, 2026
Brent Guerisoli Individual Corporate DirectorDirector Aug 1, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
John J Gochnour Individual Corporate OfficerPresident Mar 26, 2026
Amber Tueller Individual Corporate OfficerSecretary Mar 26, 2026
Elliot McMillan Individual Corporate OfficerVice President Mar 26, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1508448424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S WASHINGTON ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213737",
            "telephone_number": "970-565-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 E MAIN ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813214222",
            "telephone_number": "970-565-6833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Main Ave Ste 223",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813015294",
            "country_code": "US",
            "telephone_number": "970-247-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARK POINT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasco/SW Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pasco/SW Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.