NPIMap

Organization Active NPI

Optum Palliative and Hospice Care, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Greenwood Village, CO
National Provider Identifier
1912359118
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
OPTUM PALLIATIVE AND HOSPICE CARE, INC.
Practice address
6455 S Yosemite St
6TH Floor
Greenwood Village, CO 80111-5139
Phone
(719) 265-1100
Fax
(844) 727-9218
NPI assigned
Jul 12, 2016
Last updated
Jul 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
John O. Enderle
Title
Sr. Vice President/Cfo
Phone
(860) 221-0793

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X NU
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X NU

Addresses

Primary practice location

6455 S Yosemite St
6TH Floor
Greenwood Village, CO 80111-5139

Mailing address

1009 Windcross CT
Suite 101
Franklin, TN 37067-2678
Phone (615) 224-5443

Other names 1

  • Evercare Hospice, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Evercare Hospice Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1912359118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 WINDCROSS CT",
            "address_2": "SUITE 101",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672678",
            "telephone_number": "615-224-5443",
            "fax_number": "844-727-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 S YOSEMITE ST",
            "address_2": "6TH FLOOR",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115139",
            "telephone_number": "719-265-1100",
            "fax_number": "844-727-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PALLIATIVE AND HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "ENDERLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "860-221-0793"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evercare Hospice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.