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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 17C439
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Envision Hospice
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.
-
dba Envision Healthcare at Home
- Community Based Hospice Care Agency
- Denver, CO
- NPI 1942669692
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.