Provider Demographics
NPI:1376842773
Name:DIGNITY HOSPICE OF COLORADO, LLC
Entity Type:Organization
Organization Name:DIGNITY HOSPICE OF COLORADO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-222-3315
Mailing Address - Street 1:400 E 84TH AVE STE W-202
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-5326
Mailing Address - Country:US
Mailing Address - Phone:720-222-3315
Mailing Address - Fax:303-366-9595
Practice Address - Street 1:400 E 84TH AVE # 202
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-5326
Practice Address - Country:US
Practice Address - Phone:720-222-3315
Practice Address - Fax:303-366-9595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO17B427OtherSTATE ID