Organization Active NPI

Mission Health Care Services

Doing business as Mission Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Centennial, CO
National Provider Identifier
1578949301
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MISSION HEALTH CARE SERVICES
Doing business as
Mission Hospice and Palliative Care
Practice address
12835 E Arapahoe Rd Ste 400T1
Centennial, CO 80112-3940
Phone
(303) 708-1122
Fax
(303) 708-1121
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Al Abraham, NA
Title
Owner
Phone
(858) 866-4692

Specialties & licenses 1

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

Addresses

Primary practice location

12835 E Arapahoe Rd Ste 400T1
Centennial, CO 80112-3940

Mailing address

8 Inverness Dr E
# 245
Englewood, CO 80112-5653
Phone (858) 866-4692

Other names 1

  • Mission Hospice and Palliative Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151028000332 CO Part A Provider - Hospice 2163731431 Practice locations: Centennial, CO

Hospice certification: CCN 061596

Legal name
MISSION HEALTH CARE SERVICES
Doing business as
MISSION HOSPICE AND PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 15, 2017
Last certification
Feb 15, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jun 28, 2015 in CO
Enrollment address
12835 E Arapahoe Rd
Ste 400
Centennial, CO 80112-3940

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Mission Hospice and Palliative CareCCN 061596 ยท All quality measures
Ownership
For-Profit
Certified
Feb 15, 2017
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Mission Health Care Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8 Inverness Dr E
Ste 245
Englewood, CO 80112
Phone (303) 708-1122

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Al Hamid Abraham Individual 5% Or Greater Direct Ownership InterestOwner Jun 28, 2015 100%
W-2 Managing EmployeeAlt Administrator Jun 28, 2015

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1578949301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 INVERNESS DR E",
            "address_2": "# 245",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125653",
            "telephone_number": "858-866-4692",
            "fax_number": "303-708-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 E ARAPAHOE RD STE 400T1",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123940",
            "telephone_number": "303-708-1122",
            "fax_number": "303-708-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-866-4692",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.