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PORTER ADVENTIST HEALTH SYSTEM NPI 1710080171


NPI Information

NPI: 1710080171
Provider Name: PORTER ADVENTIST HEALTH SYSTEM

Doing Business As: PORTER HOSPICE AT THE JOHNSON CENTER

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

CLIA Number: 06D2272988

Address:
5020 E ARAPAHOE RD
LITTLETON, CO
ZIP 80122
Phone: (303) 694-3545
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PORTER ADVENTIST HEALTH SYSTEM is a hospice care community based in Littleton, CO. PORTER ADVENTIST HEALTH SYSTEM NPI is 1710080171. The provider is registered as an organization entity type.
The provider Is Doing Business As Porter Hospice At The Johnson Center.

The provider's business location address is:

5020 E ARAPAHOE RD
LITTLETON, CO
ZIP 80122-302
Phone: (303) 694-3545
Fax: (303) 694-5103

The provider's authorized official is Dan Enderson .
The authorized official title is Cfo and has the following contact phone number (303) 643-1235.

The CLIA number assigned to this NPI record is 06D2272988 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 8/21/2023.


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 Based0696COLORADOYes

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
105800198MEDICAIDCOLORADO

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

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.