Provider Demographics
NPI:1245866474
Name:CENTERCARE HOSPICE LLC
Entity type:Organization
Organization Name:CENTERCARE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-594-5565
Mailing Address - Street 1:1155 KELLY JOHNSON BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3958
Mailing Address - Country:US
Mailing Address - Phone:719-900-1398
Mailing Address - Fax:719-344-9365
Practice Address - Street 1:4718 N ELIZABETH ST STE E
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2080
Practice Address - Country:US
Practice Address - Phone:719-544-5891
Practice Address - Fax:719-281-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based