OPTUM PALLIATIVE AND HOSPICE CARE, INC.


Address: 3720 Da Vinci Court, Suite 400, Norcross, GA 30092
Phone: 7704172018

OPTUM PALLIATIVE AND HOSPICE CARE, INC. (NPI# 1174579890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174579890
Entity Type Organization
Organization Name OPTUM PALLIATIVE AND HOSPICE CARE, INC.
Other Organization Name EVERCARE HOSPICE, INC.
Practice Address 3720 Da Vinci Court
Suite 400
Norcross
GA 30092
Mailing Address Po Box 15645
Las Vegas
NV 89114-5645
Practice Telephone 7704172018
Practice Fax Number 8886526961
Mailing Telephone 7704172018
Mailing Fax Number 8886526961
Enumeration Date 2006-05-25
Last Update Date 2015-11-04
Authorized Official Name JOHN O ENDERLE (PRESIDENT/CEO)
Authorized Official Telephone 8602210793
Is Organization Subpart Y
Parent Organization Name COLLABORATIVE CARE HOLDINGS, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251G00000X Hospice Care, Community Based Agencies
Y 251G00000X Hospice Care, Community Based 067-243-H GA Agencies

Other Provider/Organization Names

Other Name Type Code
Evercare Hospice, Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114241700 Optum Palliative and Hospice Care, Inc. Hospice Care, Community Based 1900 E Golf Rd Fl 2, Schaumburg, IL 60173-5834 2010-03-25
1922274844 Optum Palliative and Hospice Care, Inc. Hospice Care, Community Based 7755 Paragon Road, Suite 106, Dayton, OH 45459-4052 2008-04-30
1609911817 Optum Palliative and Hospice Care, Inc. Hospice Care, Community Based 536 Chapel Hills Drive, Suite 120, Colorado Springs, CO 80920 2007-02-21
1689735409 Optum Palliative and Hospice Care, Inc. Hospice Care, Community Based 6245 E. Broadway, 6th Floor, Suite 650, Tucson, AZ 85711-4019 2006-12-13
1518079383 Optum Palliative and Hospice Care, Inc. Hospice Care, Community Based 3120 W Lake Center Dr, Santa Ana, CA 92704-6917 2006-08-31
1952412025 Optum Palliative and Hospice Care, Inc. Hospice Care, Community Based 6455 So. Yosemite Street, 6th Floor, Englewood, CO 80111-5139 2006-08-31
1437189131 Optum Palliative and Hospice Care, Inc. Hospice Care, Community Based 33 Inverness Center Parkway, Hoover, AL 35242 2006-07-05
1700815099 Optum Palliative and Hospice Care, Inc. Hospice Care, Community Based 3003 N. Central Ave., Suite 800, Phoenix, AZ 85012 2006-07-01
1205883311 Optum Palliative and Hospice Care, Inc. Hospice Care, Community Based 13655 Riverport Dr, Maryland Heights, MO 63043-4812 2006-05-27
1487607040 Optum Palliative and Hospice Care, Inc. Hospice Care, Community Based 12018 Sunrise Valley Drive, Suite 401, Reston, VA 20191-3434 2006-05-17

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Optum Palliative and Hospice Care, Inc. Unitedhealth Group Center, 9900 Bren Road East, Minnetonka, MN 55343
Oregon Corporations, Companies and Business Names OPTUM PALLIATIVE AND HOSPICE CARE, INC. Unitedhealth Group Center, 9900 Bren Road East, Minnetonka, MN 55343
Massachusetts Corporations OPTUM PALLIATIVE AND HOSPICE CARE, INC. Unitedhealth Group Center, 9900 Bren Road East, Minnetonka, MN 55343

Office Location

Street Address 3720 DA VINCI COURT
SUITE 400
City NORCROSS
State GA
Zip Code 30092

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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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1295182756 Laterica Leshun Mcdonald Hospice Care, Community Based 1405 Beaver Ruin Rd Apt 609, Norcross, GA 30093-3348 2016-05-15
1548678923 Sovereign Hospice Inc. Hospice Care, Community Based 5675 Jimmy Carter Blvd Ste 100b, Norcross, GA 30071-4666 2014-07-29
1124312574 Angelic Arms Home Hospice, LLC Hospice Care, Community Based 5950 Live Oak Parkway, Suite 240, Norcross, GA 30093-1743 2011-06-02
1316985336 Pruitthealth Hospice, Inc. Hospice Care, Community Based 1626 Jeurgens Ct, Norcross, GA 30093-2219 2006-06-02
1639704000 Passionate Care Hospice.llc Hospice Care, Community Based 5750 Brook Hollow Pkwy Ste 102, Norcross, GA 30071-3515 2020-03-06
1326598681 Compassus Op of Georgia I LLC Hospice Care, Community Based 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 2016-10-11
1336507557 American Comfort Givers Hospice LLC Hospice Care, Community Based 5627 Singleton Rd, Norcross, GA 30093-2208 2016-02-02
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1477153492 Legacy Hospice Ga Hospice Care, Community Based 1700 Frederica Rd Ste 205, St Simons Island, GA 31522-2583 2020-10-28
1013515030 Perimeter Hospice of Georgia Hospice Care, Community Based 150 Stanley Ct Ste E, Lawrenceville, GA 30046-5215 2020-10-12
1780291039 Goldencare Hospice and Palliative Care Hospice Care, Community Based 7555 Bridgegate Ct, Sandy Springs, GA 30350-4604 2020-09-29
1255947651 Community Hospice of Georgia Hospice Care, Community Based 321 N Main St Ste A, Adairsville, GA 30103-2403 2020-09-21
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1609494327 Divine Guardian LLC Hospice Care, Community Based 2321 4th St Ste 210, Tucker, GA 30084-8516 2020-07-09
1184242026 Champions Nursing Services, LLC Hospice Care, Community Based 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 2020-07-07
1700408127 Tapestry Healthcare LLC Hospice Care, Community Based 2950 Cherokee St Nw Ste 900, Kennesaw, GA 30144-6505 2020-05-07
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Competitor

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City NORCROSS
Zip Code 30092

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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