Optum Palliative and Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

170493 Issued in CO

Legal business name

OPTUM PALLIATIVE AND HOSPICE CARE, INC.

Practice address

6455 So. Yosemite Street
6TH Floor
Englewood, CO 80111-5139

Phone

(303) 714-2400

Fax

(303) 714-2396

NPI assigned

Aug 31, 2006

Last updated

Nov 4, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

COLLABORATIVE CARE HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

John O. Enderle

Title

President/Ceo

Phone

(860) 221-0793

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Evercare Hospice, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1952412025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "telephone_number": "215-902-8241",
            "fax_number": "215-902-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 SO. YOSEMITE STREET",
            "address_2": "6TH FLOOR",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801115139",
            "telephone_number": "303-714-2400",
            "fax_number": "303-714-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PALLIATIVE AND HOSPICE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLABORATIVE CARE HOLDINGS, LLC",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "ENDERLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-221-0793"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CO",
            "license": "1008",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CO",
            "license": "170493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "061540",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36533262",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evercare Hospice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Open and Affordable Dental Englewood PLLC (Open and Affordable Dental Englewood)
• Open and Affordable Dental Parker West PLLC (Open and Affordable Dental Parker West)
• Option Care Enterprises, Inc. (Option Care)
• Option Care Enterprises, Inc. (Option Care)
• Optum Behavioral Care of Colorado, P.C.
• Elizabeth Joy Ordaz Manriquez, CNM
• Origin Birth and Health, LLC
• Emily Oros
• Jeremy Mark Orr, DVM
• Lila Orr, FNP C

• Community Based Hospice Care Agency in Englewood, CO
• Providers in Englewood, CO by specialty
• Community Based Hospice Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.