Provider Demographics
NPI:1699398230
Name:COLORADO PALLIATIVE & HOSPICE CARE OF NORTHERN COLORADO LLC
Entity Type:Organization
Organization Name:COLORADO PALLIATIVE & HOSPICE CARE OF NORTHERN COLORADO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-545-0800
Mailing Address - Street 1:26207 HERRING RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:64034-9355
Mailing Address - Country:US
Mailing Address - Phone:816-916-5553
Mailing Address - Fax:888-667-1231
Practice Address - Street 1:6551 S REVERE PKWY STE 125
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6468
Practice Address - Country:US
Practice Address - Phone:720-545-0800
Practice Address - Fax:720-545-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based