Active NPI
Hospice & Palliative Care of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
National Provider Identifier
1700944717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 0633
- Legal business name
- HOSPICE & PALLIATIVE CARE OF NORTHERN COLORADO
- Practice address
- 2726 W. 11TH St Road
Greeley, CO 80634 - Phone
- (970) 352-8487
- Fax
- (970) 475-0038
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael McHale
- Title
- President & Ceo
- Phone
- (303) 604-5244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 0633 | CO | Primary |
Addresses
Primary practice location
2726 W. 11TH St Road
Greeley, CO 80634
Mailing address
2726 W. 11TH St Road
Greeley, CO 80634
Phone (970) 352-8487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05800065 | Medicaid | CO |
Other names 1
- TRU Hospice of Northern Colorado
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
1801 16th St
Fl 5
Greeley, CO 80631
Phone 9703528487200
1801 16th St
#5
Greeley, CO 80631
Phone (970) 352-8487
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Apr 8, 2019 | Change of Ownership | Banner Hospice of Northern Colorado |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547424000000",
"number": "1700944717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2726 W. 11TH ST ROAD",
"city": "GREELEY",
"state": "CO",
"postal_code": "80634",
"telephone_number": "970-352-8487",
"fax_number": "970-475-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 W. 11TH ST ROAD",
"city": "GREELEY",
"state": "CO",
"postal_code": "80634",
"telephone_number": "970-352-8487",
"fax_number": "970-475-0038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE & PALLIATIVE CARE OF NORTHERN COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2019-01-14",
"status": "A",
"authorized_official_last_name": "MCHALE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "303-604-5244",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CO",
"license": "0633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05800065",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TRU Hospice of Northern Colorado",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.