NPIMap

Organization Active NPI

The Boulder Hospice

  • Community Based Hospice Care Agency
  • Boulder, CO
National Provider Identifier
1831629237
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
THE BOULDER HOSPICE
Practice address
75 Manhattan Dr Ste 208
Boulder, CO 80303-4252
Phone
(303) 442-5683
Fax
(877) 319-6882
NPI assigned
Jun 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Cara Christine LeisherNPI 1659607240
Title
Board President
Phone
(303) 442-5683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

75 Manhattan Dr Ste 208
Boulder, CO 80303-4252

Mailing address

75 Manhattan Dr Ste 1
Boulder, CO 80303-4251
Phone (303) 442-5683

Other names 3

  • The Boulder Hospice Doing business as
  • Trail Winds Hospice Doing business as
  • Boulder Hospice Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HOSPICESOFT.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180302000119 CO Part A Provider - Hospice 6103187430 Practice locations: Boulder, CO
O20230411001505 CO Part B Supplier - Clinic/Group Practice 6103187430 Receives reassigned benefits from 1 practitioner
Practice locations: Boulder, CO

Hospice certification: CCN 061602

Legal name
THE BOULDER HOSPICE
Doing business as
TRAIL WINDS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 11, 2018
Last certification
May 11, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 11, 2017 in CO
Enrollment address
4710 Table Mesa Dr
Ste B
Boulder, CO 80305-4504

Care Compare: Hospice

Medicare Care Compare
Listed as
Trail Winds HospiceCCN 061602
Ownership
For-Profit
Certified
May 11, 2018
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2138552Trail Winds Hospice4710 Table Mesa Dr, Suite B, Boulder, CO 80305Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

75 Manhattan Dr
Ste 208
Boulder, CO 80303
Phone (303) 442-5683

75 Manhattan Dr
Ste 1
Boulder, CO 80303
Phone (303) 442-5683

6525 Gunpark Dr
Ste 370
Boulder, CO 80301
Phone (720) 790-3776

595 Canyon Blvd
Boulder, CO 80302
Phone (303) 258-7582

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Virginia Murrell Brooks Individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 30%
Corporate OfficerBoard Secretary Apr 25, 2022
Corporate Director Apr 25, 2022
Jane Ellen Peterson Individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 30%
Corporate OfficerTreasurer of the Board Apr 25, 2022
Corporate Director Apr 25, 2022
Mark Sarinopoulos Individual W-2 Managing EmployeeMD; Jan 13, 2022
Lilliann Osborne-Durst Individual 5% Or Greater Direct Ownership InterestCeo Jan 1, 2024 10%
W-2 Managing EmployeeCeo/Administrator May 23, 2022
Operational/Managerial ControlAdministrator May 23, 2022
Cara Christine Leisher Individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 30%
Corporate OfficerPresident of the Board Apr 25, 2022
Corporate Director Apr 25, 2022

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1831629237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR STE 1",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034251",
            "telephone_number": "303-442-5683",
            "fax_number": "877-319-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR STE 208",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034252",
            "telephone_number": "303-442-5683",
            "fax_number": "877-319-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOULDER HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "LEISHER",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "303-442-5683"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HOSPICESOFT.COM",
            "affiliation": "N",
            "endpointDescription": "ELECTRONIC MEDICAL RECORDS PLATFORM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 Manhattan Dr Ste 208",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803034252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Boulder Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Boulder Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trail Winds Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boulder Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.