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OPTUM PALLIATIVE AND HOSPICE CARE INC NPI 1508810052


NPI Information

NPI: 1508810052
Provider Name: OPTUM PALLIATIVE AND HOSPICE CARE, INC,

Former Legal Business Name: EVERCARE HOSPICE, INC.

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
9050 POINT CENTER DRIVE, SUITE 400
WEST CHESTER, OH
ZIP 45069
Phone: (513) 682-4040
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OPTUM PALLIATIVE AND HOSPICE CARE, INC, is a hospice care community based in West Chester, OH. OPTUM PALLIATIVE AND HOSPICE CARE, INC, NPI is 1508810052. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Evercare Hospice, Inc..

The provider's business location address is:

9050 POINT CENTER DRIVE, SUITE 400
WEST CHESTER, OH
ZIP 45069-875
Phone: (513) 682-4040
Fax: (888) 810-8182

The provider's authorized official is John O. Enderle .
The authorized official title is President/ceo and has the following contact phone number (860) 221-0793.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 11/4/2015.


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 BasedNo
2251G00000XHospice Care, Community Based0158HSPOHIOYes

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
11508810052MEDICARE OSCAR/CERTIFICATIONOHIO

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

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