DIVINE MERCY SUPPORTIVE CARE NPI 1376978833

NPI Information

NPI: 1376978833
Provider Name: DIVINE MERCY SUPPORTIVE CARE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
4045 PECOS ST
DENVER, CO
ZIP 80211
Phone: (303) 357-2540
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DIVINE MERCY SUPPORTIVE CARE is a hospice care community based in Denver, CO. DIVINE MERCY SUPPORTIVE CARE NPI is 1376978833. The provider is registered as an organization entity type.

The provider's business location address is:

4045 PECOS ST
DENVER, CO
ZIP 80211-552
Phone: (303) 357-2540
Fax: (720) 398-3490

The provider's authorized official is Kevin Lundy .
The authorized official title is Ceo and has the following contact phone number (303) 357-2540.

The enumeration date for this NPI number is 9/3/2013 and was last updated on 4/29/2016.

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		17M599	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	17M599	OTHER	COLORADO	STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
2	061591	MEDICARE PIN

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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