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LEGACY HOSPICE LLC NPI 1003044835


NPI Information

NPI: 1003044835
Provider Name: LEGACY HOSPICE LLC

Doing Business As: NEW CENTURY HOSPICE OF DENVER

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 06D1106140

Address:
380 PERRY ST STE 210
CASTLE ROCK, CO
ZIP 80104
Phone: (303) 660-6107
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LEGACY HOSPICE LLC is a hospice care community based in Castle Rock, CO. LEGACY HOSPICE LLC NPI is 1003044835. The provider is registered as an organization entity type.
The provider Is Doing Business As New Century Hospice Of Denver.

The provider's business location address is:

380 PERRY ST STE 210
CASTLE ROCK, CO
ZIP 80104-485
Phone: (303) 660-6107
Fax: (888) 660-6107

The provider's authorized official is Richard Hall .
The authorized official title is Authorized Official and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 06D1106140 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2009 and was last updated on 7/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
117J598OTHERLICENSE
242280281MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.