OPTUM PALLIATIVE AND HOSPICE CARE INC NPI 1609900364

NPI Information

NPI: 1609900364
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:
4875 RIVERSIDE DR STE 104
MACON, GA
ZIP 31210
Phone: (478) 812-9299
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OPTUM PALLIATIVE AND HOSPICE CARE, INC is a hospice care community based in Macon, GA. OPTUM PALLIATIVE AND HOSPICE CARE, INC NPI is 1609900364. 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:

4875 RIVERSIDE DR STE 104
MACON, GA
ZIP 31210-149
Phone: (478) 812-9299
Fax: (478) 912-9270

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 3/15/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				No
2	251G00000X	Hospice Care, Community Based		0011-0296-H	GEORGIA	Yes

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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