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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 Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

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

NPI Number 1700815099
LBN Legal business name OPTUM PALLIATIVE AND HOSPICE CARE, INC.
Authorized official JOHN ENDERLE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2006
Last updated 04/12/2016 - About 10 years ago
Identifiers
AZ License # 3566
AZ License # HSPC3566
AZ Medicaid 905747
AZ Other 905747 AZ PHYSICIAN IPA
AZ Other 905747 EVERCARE SELECT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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