Provider Demographics
NPI:1750106779
Name:AMG HOSPICE OF COLORADO NORTH LLC
Entity type:Organization
Organization Name:AMG HOSPICE OF COLORADO NORTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-284-2500
Mailing Address - Street 1:3401 QUEBEC ST STE 8400
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-2333
Mailing Address - Country:US
Mailing Address - Phone:303-879-1700
Mailing Address - Fax:
Practice Address - Street 1:3401 QUEBEC ST STE 8400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-2333
Practice Address - Country:US
Practice Address - Phone:303-879-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based