Provider Demographics
NPI:1821078965
Name:NAMASTE CARE GROUP, LLC
Entity Type:Organization
Organization Name:NAMASTE CARE GROUP, LLC
Other - Org Name:NAMSTE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:S
Authorized Official - Last Name:BEZUIDENHOUT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:303-860-9915
Mailing Address - Street 1:1633 FILLMORE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1514
Mailing Address - Country:US
Mailing Address - Phone:303-860-9915
Mailing Address - Fax:
Practice Address - Street 1:1633 FILLMORE ST
Practice Address - Street 2:SUITE 300
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1514
Practice Address - Country:US
Practice Address - Phone:303-860-9915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
CO0403251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42927340Medicaid
CO05800412Medicaid
CO42927340Medicaid