Provider Demographics
NPI:1659858447
Name:ENVISION HOSPICE OF COLORADO LLC
Entity Type:Organization
Organization Name:ENVISION HOSPICE OF COLORADO LLC
Other - Org Name:ENVISION HEALTHCARE AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-225-7971
Mailing Address - Street 1:1345 W 1600 N STE 202
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-2431
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7150 CAMPUS DR STE 330
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3180
Practice Address - Country:US
Practice Address - Phone:719-596-5001
Practice Address - Fax:719-596-5003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENVISION HOSPICE OF COLORADO LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-24
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17C439251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based