Provider Demographics
NPI:1861831406
Name:ROCKIES COMMUNITY HOSPICE LLC
Entity Type:Organization
Organization Name:ROCKIES COMMUNITY HOSPICE LLC
Other - Org Name:BRIDGES PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-717-4751
Mailing Address - Street 1:450 N DOBSON RD
Mailing Address - Street 2:STE. 205
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-5277
Mailing Address - Country:US
Mailing Address - Phone:480-303-8599
Mailing Address - Fax:
Practice Address - Street 1:7000 E BELLEVIEW AVE
Practice Address - Street 2:STE 130
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1617
Practice Address - Country:US
Practice Address - Phone:303-953-7270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty