Organization · Type 2 NPI

Optum Palliative and Hospice Care, Inc.

Community Based Hospice Care Agency · Dayton, OH

NPI number 1922274844 Active

Practice location

7755 Paragon Road, Suite 106
Dayton, OH 45459-4052

Call (937) 226-8611 Map

Fax (888) 810-8182

Mailing address

PO Box 15645
Las Vegas, NV 89114-5645

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency	251G00000X	None listed
Community Based Hospice Care Agency Primary	251G00000X	0158HSP (OH)

Community Based Hospice Care Agency: Definition to come...

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NPI record

NPI: 1922274844
Entity type: Organization (Type 2)
Issued: Apr 30, 2008
Last updated: Nov 4, 2015
Status: Active
Subpart: Yes of Collaborative Care Holdings, LLC

Other names

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Evercare Hospice, Inc. · doing business as

Authorized official

John O. Enderle
President/ceo
(860) 221-0793

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922274844

Optum Palliative and Hospice Care, Inc.'s National Provider Identifier is 1922274844, issued on Apr 30, 2008. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Dayton, OH. The record was last updated on Nov 4, 2015.