Provider Demographics
NPI:1831760768
Name:SANGRE DE CRISTO HOSPICE & PALLIATIVE CARE
Entity type:Organization
Organization Name:SANGRE DE CRISTO HOSPICE & PALLIATIVE CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:EGGING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-542-0032
Mailing Address - Street 1:601 GREENWOOD AVE STE A
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81212-3337
Mailing Address - Country:US
Mailing Address - Phone:719-275-1261
Mailing Address - Fax:719-275-3754
Practice Address - Street 1:601 GREENWOOD AVE STE A
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-3337
Practice Address - Country:US
Practice Address - Phone:719-275-1261
Practice Address - Fax:719-275-3754
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANGRE DE CRISTO HOSPICE AND PALLIATIVE CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-01
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05800164Medicaid