NPIMap

Organization Active NPI

Mount Evans Hospice, Inc.

Doing business as Mount Evans Home Health Care and Hospice, Inc.

  • Home Health Agency
  • Evergreen, CO
National Provider Identifier
1871996124
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
040431 Issued in CO
Legal business name
MOUNT EVANS HOSPICE, INC.
Doing business as
Mount Evans Home Health Care and Hospice, Inc.
Practice address
3081 Bergen Peak Dr
Evergreen, CO 80439-2200
Phone
(303) 674-6400
Fax
(303) 674-8813
NPI assigned
Oct 1, 2014
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Lydia Thangaiyan
Title
Interim President and Ceo
Phone
(949) 647-0423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 040431 CO Primary

Addresses

Primary practice location

3081 Bergen Peak Dr
Evergreen, CO 80439-2200

Mailing address

3081 Bergen Peak Dr
Evergreen, CO 80439-2200
Phone (303) 674-6400

Other names 2

  • Mount Evans Home Health Care and Hospice, Inc. Doing business as
  • Mount Evans Hospice, Inc. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080306000209 CO Part A Provider - Home Health Agency 1658456223 1 other NPI on this enrollment
Practice locations: Evergreen, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871996124. Details of each certification follow.

Home health agency certification: CCN 067063

Legal name
MOUNT EVANS HOSPICE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1981
Last certification
Nov 8, 2018
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Nov 12, 1980 in CO
Enrollment address
3081 Bergen Peak Dr
Evergreen, CO 80439-2200

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mount Evans Home Health Care & HospiceCCN 067063 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jul 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Mount Evans Hospice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Carrie Leroy Individual W-2 Managing EmployeeManager, Exec Support & Office Nov 1, 2025
Kathy a Engel Individual W-2 Managing EmployeeAd; Jan 5, 2026
Lydia P Thangaiyan Individual W-2 Managing EmployeeAd; Nov 1, 2025
Operational/Managerial Control Jan 6, 2025

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mount Evans Home Health Care and Hospice, Inc.Evergreen, CO, CCN 061509 Hospice Operational/Managerial Control (100%) Nov 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1871996124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 BERGEN PEAK DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392200",
            "telephone_number": "303-674-6400",
            "fax_number": "303-679-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 BERGEN PEAK DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392200",
            "telephone_number": "303-674-6400",
            "fax_number": "303-674-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT EVANS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "THANGAIYAN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "INTERIM PRESIDENT AND CEO",
        "authorized_official_telephone_number": "949-647-0423"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "040431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Evans Home Health Care and Hospice, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Evans Home Health Care and Hospice, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Evans Hospice, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.