NPIMap

Organization Active NPI

Porter Adventist Health System

Doing business as AdventHealth Hospice Care Porter

  • Community Based Hospice Care Agency
  • Littleton, CO
National Provider Identifier
1710080171
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0696 Issued in CO
Legal business name
PORTER ADVENTIST HEALTH SYSTEM
Doing business as
AdventHealth Hospice Care Porter
Porter Hospice Residence
Porter Hospice at the Johnson Center
Practice address
5020 E Arapahoe Rd
Littleton, CO 80122-2302
Phone
(303) 694-3545
Fax
(303) 694-5103
NPI assigned
Sep 7, 2006
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Jeremy Pittman
Title
Cfo
Phone
(303) 643-1235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0696 CO Primary

Addresses

Primary practice location

5020 E Arapahoe Rd
Littleton, CO 80122-2302

Mailing address

1391 Speer Blvd
Suite 600
Denver, CO 80204-2508
Phone (303) 561-5000

Other identifiers 1

IdentifierTypeStateIssuer
05800198MedicaidCO

Other names 3

  • AdventHealth Hospice Care Porter Doing business as
  • PORTER HOSPICE RESIDENCE Doing business as
  • Porter Hospice at the Johnson Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030829000035 CO Part A Provider - Hospice 0941110886 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenwood Village, CO; Centennial, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710080171. Details of each certification follow.

Hospice certification: CCN 061517

Legal name
PORTERCARE ADVENTIST HEALTH SYSTEM
Doing business as
ADVENTHEALTH HOSPICE CARE PORTER
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 20, 1987
Last certification
Dec 13, 2013
Ownership / control type
Non-Profit - Private
Most recent change of ownership
Jan 1, 2026
Organization structure
CorporationNon-profit
Incorporated
Feb 20, 1930 in CO
Enrollment address
6061 S Willow Dr
Ste 210
Greenwood Village, CO 80111-5150

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Adventhealth HospiceCCN 061517 · All quality measures
Ownership
Non-Profit
Certified
Feb 20, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Porter Clinical Laborat216 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

6061 S Willow Dr
Greenwood Village, CO 80111
Phone (303) 882-6545

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gary Thurber Individual Corporate DirectorTrustee Aug 1, 2023
Jeremy Pittman Individual Contracted Managing EmployeeCfo Mar 10, 2024
Corporate OfficerCfo Mar 10, 2024
Operational/Managerial ControlCfo Mar 10, 2024
Brett Spenst Individual Contracted Managing EmployeePresident Aug 1, 2023
Corporate OfficerPresident Aug 1, 2023
Corporate DirectorPresident Aug 1, 2023
Operational/Managerial ControlPresident Aug 1, 2023
Jeffrey Graff Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Julie a Devita-Bailey Individual W-2 Managing EmployeeMedical Director-Hospice Aug 1, 2023
Operational/Managerial ControlMedical Director Aug 1, 2023
Karsten Randolph Individual Corporate DirectorTrustee Aug 1, 2023
Richard D'Ambrosio Individual Corporate OfficerAssistant Secretary Aug 24, 2023
John Thurber Individual Corporate DirectorTrustee Aug 1, 2023
Michael Saunders Individual Corporate OfficerAssistant Secretary Aug 24, 2023
Lars Houmann Individual Corporate DirectorTrustee Aug 1, 2023
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 1, 2001 100%
Operational/Managerial Control Aug 1, 2023
Amanda Brady Individual Operational/Managerial ControlChain Home Office Administrator Aug 1, 2023
Toni Berrios Individual Corporate OfficerAssistant Secretary Aug 24, 2023
David P Banks Individual Corporate OfficerVP/Chairperson/Trustee Nov 1, 2023
Corporate DirectorVP/Chairperson/Trustee Nov 1, 2023
Haney Vincent Individual Corporate OfficerAssistant Secretary Dec 9, 2021
Robert C Foltz Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Sarah Bixenman Individual W-2 Managing EmployeeDirector of Nursing Aug 1, 2023
Operational/Managerial ControlDirector of Nursing Aug 1, 2023
Lynn Addiscott Individual Corporate OfficerAssistant Secretary Nov 10, 2005
Marc Kristopher Ordelheide Individual Corporate DirectorTrustee Aug 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1710080171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 SPEER BLVD",
            "address_2": "SUITE 600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042508",
            "telephone_number": "303-561-5000",
            "fax_number": "303-561-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 E ARAPAHOE RD",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222302",
            "telephone_number": "303-694-3545",
            "fax_number": "303-694-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-643-1235"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CO",
            "license": "0696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05800198",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Hospice Care Porter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PORTER HOSPICE RESIDENCE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Porter Hospice at the Johnson Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.