Provider Demographics
NPI:1437486347
Name:COMPASSIONATE HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:J
Authorized Official - Last Name:KIESAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-465-0944
Mailing Address - Street 1:11935 QUAY STREET
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020
Mailing Address - Country:US
Mailing Address - Phone:303-465-0944
Mailing Address - Fax:303-465-0899
Practice Address - Street 1:11935 QUAY STREET
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020
Practice Address - Country:US
Practice Address - Phone:303-465-0944
Practice Address - Fax:303-465-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based