Organization Active NPI

Envision Hospice of Colorado LLC

Doing business as Envision Healthcare at Home

  • Community Based Hospice Care Agency
  • Colorado Springs, CO
National Provider Identifier
1659858447
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
17C439 Issued in CO
Legal business name
ENVISION HOSPICE OF COLORADO LLC
Doing business as
Envision Healthcare at Home
Envision Hospice
Practice address
7150 Campus Dr Ste 330
Colorado Springs, CO 80920-3180
Phone
(719) 596-5001
Fax
(719) 596-5003
NPI assigned
Jul 24, 2018
Organization subpart
Yes
Parent organization
ENVISION HOSPICE OF COLORADO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Jennifer Petersen, RN, MHA, CHC
Title
Corporate Dir. of Clinical Services
Phone
(303) 500-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 17C439 CO Primary

Addresses

Primary practice location

7150 Campus Dr Ste 330
Colorado Springs, CO 80920-3180

Mailing address

1720 S Bellaire St Ste 308
Denver, CO 80222-4320
Phone (303) 500-5055

Other names 2

  • Envision Healthcare at Home Doing business as
  • Envision Hospice Doing business as

National Provider Directory

National Provider Directory
Part of
Envision Hospice of Colorado LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1659858447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST STE 308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224320",
            "telephone_number": "303-500-5055",
            "fax_number": "866-610-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 CAMPUS DR STE 330",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203180",
            "telephone_number": "719-596-5001",
            "fax_number": "719-596-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION HOSPICE OF COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENVISION HOSPICE OF COLORADO LLC",
        "enumeration_date": "2018-07-24",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CORPORATE DIR. OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "303-500-5055",
        "authorized_official_credential": "RN, MHA, CHC"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CO",
            "license": "17C439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Healthcare at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Envision Healthcare at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Envision Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.