FAMILY HOSPICE LLC NPI 1245268853

NPI Information

NPI: 1245268853
Provider Name: FAMILY HOSPICE, LLC

Doing Business As: NEW CENTURY HOSPICE OF BOULDER

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

Address:
1790 30TH ST
STE 308
BOULDER, CO
ZIP 80301
Phone: (303) 440-0205
Get Directions

FAMILY HOSPICE, LLC is a hospice care community based in Boulder, CO. FAMILY HOSPICE, LLC NPI is 1245268853. The provider is registered as an organization entity type.
The provider Is Doing Business As New Century Hospice Of Boulder.

The provider's business location address is:

1790 30TH ST
STE 308
BOULDER, CO
ZIP 80301-020
Phone: (303) 440-0205
Fax: (303) 440-0209

The provider's authorized official is Jessica L. Kieberg .
The authorized official title is Vp Of Legal Affairs and has the following contact phone number (704) 662-0414.

The CLIA number assigned to this NPI record is 32D1003157 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 3/4/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		0784	COLORADO	No
2	251G00000X	Hospice Care, Community Based		17B941	COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	061557	MEDICARE OSCAR/CERTIFICATION
2	89986741	MEDICAID	COLORADO

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: 4/28/2024

NPI Synchronization or Removal

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