National Provider Identifier Database

OPTUM PALLIATIVE AND HOSPICE CARE INC
Hospice Care, Community Based


Contact Information

OPTUM PALLIATIVE AND HOSPICE CARE, INC.
3003 N. CENTRAL AVE.
SUITE 800
PHOENIX, AZ85012
Phone: 866-658-4658
Fax: 602-749-5999
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for OPTUM PALLIATIVE AND HOSPICE CARE, INC.

NPI Number 1700815099
Legal business name
LBN
OPTUM PALLIATIVE AND HOSPICE CARE, INC.
Authorized official JOHN ENDERLE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/01/2006
Last updated 04/12/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 3566
  • AZ License #: HSPC3566
  • AZ Medicaid: 905747
  • AZ Other: 905747 AZ PHYSICIAN IPA
  • AZ Other: 905747 EVERCARE SELECT

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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