Optum Palliative and Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

17Y382 Issued in OH

Legal business name

OPTUM PALLIATIVE AND HOSPICE CARE, INC.

Practice address

536 Chapel Hills Drive, Suite 120
Colorado Springs, CO 80920

Phone

(719) 265-1100

Fax

(719) 265-1101

NPI assigned

Feb 21, 2007

Last updated

Nov 4, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

UNITED HEALTH GROUP, INCORPORATEDAs 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

• 02212007207806 Former legal business name

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1609911817",
    "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": "215-902-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 CHAPEL HILLS DRIVE, SUITE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-265-1100",
            "fax_number": "719-265-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PALLIATIVE AND HOSPICE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED HEALTH GROUP, INCORPORATED",
        "enumeration_date": "2007-02-21",
        "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": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "17Y382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "02212007207806",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optum Peak Endoscopy Center LLC
• Optumcare Colorado ASC, LLC (Colorado Springs Health Partners ASC, LLC)
• Optumcare Colorado ASC, LLC
• Optumcare Colorado Medical Group LLC (Optum Colorado Springs - Briargate)
• Optumcare Colorado Medical Group LLC (Optum Colorado Springs - Roundhouse)

• Community Based Hospice Care Agency in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Community Based Hospice Care Agency in Colorado

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.