Organization Active NPI

Hospice & Palliative Care of Northern Colorado

  • Community Based Hospice Care Agency
  • Greeley, CO
National Provider Identifier
1700944717
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0633 Issued in CO
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

Updated by the provider on Jan 14, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05800065MedicaidCO

Other names 1

  • TRU Hospice of Northern Colorado Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

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

DateEventCounterparty
Apr 8, 2019 Change of OwnershipThis provider was the seller Banner Hospice of Northern ColoradoCCN 061503, CO, NPI 1407409964

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

Verify at the official NPI Registry.