OPTUM PALLIATIVE AND HOSPICE CARE INC. NPI 1700815099

NPI Information

  • NPI: 1700815099
  • Provider Name: OPTUM PALLIATIVE AND HOSPICE CARE, INC.
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Former Legal Business Name: EVERCARE HOSPICE, INC.
  • Address: 3003 N. CENTRAL AVE.
    SUITE 800
    PHOENIX, AZ
    ZIP 85012
  • Phone: (866) 658-4658

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NPI Details

OPTUM PALLIATIVE AND HOSPICE CARE, INC. is a hospice care community based in Phoenix, AZ. OPTUM PALLIATIVE AND HOSPICE CARE, INC. NPI is 1700815099. 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:

3003 N. CENTRAL AVE.
SUITE 800
PHOENIX, AZ
ZIP 85012
Phone: (866) 658-4658
Fax: (602) 749-5999

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

The enumeration date for this NPI number is 7/1/2006 and was last updated on 4/12/2016.

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
1251G00000XHospice Care, Community Based3566ARIZONANo
2251G00000XHospice Care, Community BasedHSPC3566ARIZONANo
3251G00000XHospice Care, Community BasedYes

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
1MA5124MEDICARE PINMISSOURI
2CB202675MEDICARE PINCALIFORNIA
3905747OTHERARIZONAEVERCARE SELECT
4202G700665MEDICARE PINGEORGIA
5Z132047MEDICARE PINARIZONA
6553PMEDICARE PINMARYLAND
7EV9393251MEDICARE PINOHIO
8905747OTHERARIZONAAZ PHYSICIAN IPA
9905747MEDICAIDARIZONA
10C10791MEDICARE PINVIRGINIA
11COA102843MEDICARE PINCOLORADO
12364285MEDICARE PINPENNSYLVANIA

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: 3/30/2025

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