Organization Active NPI

Envision Hospice of Colorado LLC

  • Community Based Hospice Care Agency
  • Denver, CO
National Provider Identifier
1942669692
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ENVISION HOSPICE OF COLORADO LLC
Practice address
1720 S Bellaire St Ste 308
Denver, CO 80222-4304
Phone
(720) 900-3505
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Jennifer Petersen, RN, MHA, CHC
Title
Corporate Dir. of Clinical Services
Phone
(303) 500-5055

Specialties & licenses 1

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

Addresses

Primary practice location

1720 S Bellaire St Ste 308
Denver, CO 80222-4304

Mailing address

1720 S Bellaire St Ste 308
Denver, CO 80222-4320
Phone (303) 500-5055

Other identifiers 1

IdentifierTypeStateIssuer
9000154239MedicaidCO

Other names 2

  • Envision Healthcare at Home Doing business as
  • Envision Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

1720 S Bellaire St
Ste 308
Denver, CO 80222
Phone (303) 500-5055

3895 Upham St
Wheat Ridge, CO 80033
Phone (303) 252-7990

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1942669692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST STE 308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224320",
            "telephone_number": "303-500-5055",
            "fax_number": "866-610-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST STE 308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224304",
            "telephone_number": "720-900-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION HOSPICE OF COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CORPORATE DIR. OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "303-500-5055",
        "authorized_official_credential": "RN, MHA, CHC"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000154239",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Healthcare at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Envision Healthcare at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Envision Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.