Colorado Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

17Z782 Issued in CO

Legal business name

COLORADO HOSPICE LLC

Doing business as

Harden Hospice COLORADO

Practice address

691 County Road 233
Suite A4
Durango, CO 81301-6580

Phone

(970) 247-0430

Fax

(970) 247-1927

NPI assigned

Dec 16, 2010

Organization subpart

No

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

Authorized official

Name

Benjamin M Hanson

Title

Sr. VP and General Counsel

Phone

(512) 634-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harden Hospice COLORADO Doing business as

Locations

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1598068363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 W 5TH ST",
            "address_2": "SUITE 800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034893",
            "telephone_number": "512-634-4900",
            "fax_number": "512-634-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 COUNTY ROAD 233",
            "address_2": "SUITE A4",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016580",
            "telephone_number": "970-247-0430",
            "fax_number": "970-247-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VP AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "512-634-4900"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CO",
            "license": "17Z782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72279575",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harden Hospice COLORADO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.