Provider Demographics
NPI:1346787637
Name:SANTA RITA'S HOSPICE SERVICES, INC.
Entity Type:Organization
Organization Name:SANTA RITA'S HOSPICE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:ASUNCION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-988-1152
Mailing Address - Street 1:2851 S PARKER RD STE 960
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2705
Mailing Address - Country:US
Mailing Address - Phone:303-988-1152
Mailing Address - Fax:303-988-1215
Practice Address - Street 1:2851 S PARKER RD STE 960
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2705
Practice Address - Country:US
Practice Address - Phone:303-988-1152
Practice Address - Fax:303-988-1215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17E989251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based