Organization Active NPI

Palliative Care Development Associates LLC

  • Community Based Hospice Care Agency
  • Evergreen, CO
National Provider Identifier
1902264567
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
20131588769 Issued in CO
Legal business name
PALLIATIVE CARE DEVELOPMENT ASSOCIATES LLC
Practice address
5981 Bluebell LN
Evergreen, CO 80439-7641
Phone
(720) 312-1256
NPI assigned
Feb 10, 2016
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Nancy Alison Robertson, ANP
Title
Owner
Phone
(720) 312-1256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 20131588769 CO Primary

Addresses

Primary practice location

5981 Bluebell LN
Evergreen, CO 80439-7641

Mailing address

5981 Bluebell LN
Evergreen, CO 80439-7641
Phone (720) 312-1256

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1902264567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5981 BLUEBELL LN",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397641",
            "telephone_number": "720-312-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5981 BLUEBELL LN",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397641",
            "telephone_number": "720-312-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE CARE DEVELOPMENT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-312-1256",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CO",
            "license": "20131588769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.