Active NPI
Berkley Palliative Care and Hospice LLC
- Community Based Hospice Care Agency
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BERKLEY PALLIATIVE CARE AND HOSPICE LLC
- Practice address
- 10697 E Dartmouth Ave
Aurora, CO 80014-2616 - Phone
- (303) 758-2000
- NPI assigned
- Jul 28, 2015
- Last updated
- Mar 17, 2023
- 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
- Michelle Donnay, JD
- Title
- Cfo
- Phone
- (303) 758-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
10697 E Dartmouth Ave
Aurora, CO 80014-2616
Mailing address
10697 E Dartmouth Ave
Aurora, CO 80014-2616
Phone (303) 758-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1831574292. Details of each certification follow.
Hospice certification: CCN 061594
- Legal name
- BERKLEY PALLIATIVE CARE AND HOSPICE LLC
- Doing business as
- BERKLEY HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 22, 2016
- Last certification
- Sep 22, 2016
- Ownership / control type
- Proprietary - Other
- Organization structure
- LLC
- Incorporated
- Jun 21, 2015 in CO
- Enrollment address
- 10697 E Dartmouth Ave
Aurora, CO 80014-2616
Care Compare: Hospice
Medicare Care Compare- Listed as
- Berkley Palliative Care and Hospice, LLC
- Ownership
- For-Profit
- Certified
- Sep 22, 2016
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Berkley Palliative Care and
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Berkley Palliative Care
- Clinical Social Worker
- Aurora, CO
- NPI 1093466690
Locations
10697 E Dartmouth Ave
Aurora, CO 80014
Phone (303) 758-2000
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Tanja Modlin | W-2 Managing Employee | Jul 28, 2025 | 15% |
| Michelle Donnay | 5% Or Greater Direct Ownership Interest | Jun 21, 2015 | 33.33% |
| Corporate Officer | Jun 21, 2015 | 33.33% | |
| Corporate Director | Jun 21, 2015 | 33.33% | |
| W-2 Managing Employee | Mar 11, 2024 | 33.33% | |
| Kandyce Nielson | W-2 Managing Employee | Aug 16, 2022 | 15% |
| Tatyanana Budnikova | 5% Or Greater Direct Ownership Interest | Jun 21, 2015 | 33.33% |
| W-2 Managing Employee | Mar 11, 2024 | 33.33% | |
| Shannon Ratcliff | W-2 Managing Employee | Jan 1, 2020 | 25% |
| Gary Ruvins | 5% Or Greater Direct Ownership Interest | Jun 21, 2015 | 33.3% |
| W-2 Managing Employee | Mar 11, 2024 | 33.33% | |
| Gagandeep Singh | Corporate Director | May 1, 2022 | 30% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Berkley Palliative Care
- Clinical Social Worker
- Aurora, CO
- NPI 1093466690
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Golden, CO
- NPI 1982120382
Affiliated clinicians 9
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": "1438041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679011200000",
"number": "1831574292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10697 E DARTMOUTH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800142616",
"telephone_number": "303-758-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10697 E DARTMOUTH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800142616",
"telephone_number": "303-758-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERKLEY PALLIATIVE CARE AND HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-28",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A",
"authorized_official_last_name": "DONNAY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "303-758-2000",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.