Provider Demographics
NPI:1720655475
Name:PREMIER HOSPICE CARE LLC
Entity Type:Organization
Organization Name:PREMIER HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANALOVITCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-236-0724
Mailing Address - Street 1:245 S BENTON ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-2453
Mailing Address - Country:US
Mailing Address - Phone:303-445-4382
Mailing Address - Fax:303-496-3110
Practice Address - Street 1:245 S BENTON ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-2453
Practice Address - Country:US
Practice Address - Phone:303-445-4382
Practice Address - Fax:303-496-3110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based