SUNCREST HOSPICE - NOCO LLC NPI 1629090725

NPI Information

NPI: 1629090725
Provider Name: SUNCREST HOSPICE - NOCO, LLC

Former Legal Business Name: WLH, LLC

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

Address:
3770 PURITAN WAY UNIT E
FREDERICK, CO
ZIP 80516
Phone: (303) 957-3101
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SUNCREST HOSPICE - NOCO, LLC is a hospice care community based in Frederick, CO. SUNCREST HOSPICE - NOCO, LLC NPI is 1629090725. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Wlh, Llc.

The provider's business location address is:

3770 PURITAN WAY UNIT E
FREDERICK, CO
ZIP 80516-463
Phone: (303) 957-3101
Fax: (303) 957-3113

The provider's authorized official is Gerry Norman Christensen .
The authorized official title is Executive Vp/cfp and has the following contact phone number (801) 433-0932.

The CLIA number assigned to this NPI record is 06D2117073 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 10/13/2020.

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		0081	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	21486271	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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