Optum Palliative and Hospice Care, Inc,

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0158HSP Issued in OH

Legal business name

OPTUM PALLIATIVE AND HOSPICE CARE, INC,

Practice address

9050 Point Center Drive, Suite 400
West Chester, OH 45069-4875

Phone

(513) 682-4040

Fax

(888) 810-8182

NPI assigned

May 20, 2006

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

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 Ohio LLC

  • Community Based Hospice Care Agency
  • Dayton, OH
  • NPI 1518417773

  Sold to, 2017-01-01

  CMS change of ownership

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1508810052",
    "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": "215-902-8241",
            "fax_number": "215-902-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 POINT CENTER DRIVE, SUITE 400",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694875",
            "telephone_number": "513-682-4040",
            "fax_number": "888-810-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PALLIATIVE AND HOSPICE CARE, INC,",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLABORATIVE CARE HOLDINGS, LLC",
        "enumeration_date": "2006-05-20",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0158HSP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evercare Hospice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• 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.