OPTUM PALLIATIVE AND HOSPICE CARE, INC. (NPI# 1184166183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184166183 |
| Entity Type | Organization |
| Organization Name | OPTUM PALLIATIVE AND HOSPICE CARE, INC. |
| Other Organization Name | EVERCARE HOSPICE, INC. |
| Practice Address |
75 S Valle Verde Dr Suite 100 Henderson NV 89012-3462 |
| Mailing Address |
1009 Windcross Ct Suite 101 Franklin TN 37067-2678 |
| Practice Telephone | 9522051263 |
| Practice Fax Number | 8447279218 |
| Mailing Telephone | 6152245443 |
| Mailing Fax Number | 8447279218 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | JOHN O. ENDERLE (SR. VP/CFO) |
| Authorized Official Telephone | 8602210793 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PH0002X |
Emergency Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081H0002X |
Physical Medicine & Rehabilitation Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2085H0002X |
Radiology Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Evercare Hospice, Inc. | Former Legal Business Name - Organization |
| 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 |
| 1174579890 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 3720 Da Vinci Court, Suite 400, Norcross, GA 30092 | 2006-05-25 |
| 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 |
| New York State Corporations | OPTUM PALLIATIVE AND HOSPICE CARE, INC. | 111 Eighth Avenue, New York, Ny 10011 |
| Street Address |
75 S VALLE VERDE DR SUITE 100 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89012-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285057562 | Elena Zalan | Physician Assistant | 75 S Valle Verde Dr, Suite 100, Henderson, NV 89012-3462 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610518 | Girisgen & Kopolow Od PC | Optometrist | 75 S Valle Verde Pkwy, Ste 120, Henderson, NV 89012 | 2018-12-16 |
| 1821569138 | Fife Dermatology, P.C. | Dermatology | 1736 W. Horizon Ridge Parkway, Henderson, NV 89012 | 2018-12-13 |
| 1487153383 | Jenny Hawkins | Speech-Language Pathologist | 1290 Sage Green Ct., Henderson, NV 89012 | 2018-02-06 |
| 1609308428 | Jovan Paris Trevino | Counselor | 607 Backbone Mountain Dr., Henderson, NV 89012 | 2017-03-30 |
| 1881144947 | Rise Center for Recovery | Community/Behavioral Health | 1681 W. Horizon Ridge Pkwy, Henderson, NV 89012 | 2016-10-12 |
| 1629524004 | Helping Hands Support Services LLC | Community/Behavioral Health | 245 S Gibson Road, 2101, Henderson, NV 89012 | 2016-08-26 |
| 1336594654 | Southwest Integrated Care Services, LLC | Behavioral Analyst | 170 S. Green Valley Pkwy Suite 300, Henderson, NV 89012 | 2016-04-25 |
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1407253032 | Yah Aggre | Behavioral Analyst | 1318 Crystal Hill Ln, 1, Henderson, NV 89012 | 2014-11-25 |
| 1710393392 | Optum Clinic Pa | Clinic/Center | 69 S Valle Verde Dr., Henderson, NV 89012 | 2014-07-03 |
| Find all providers in zip 89012 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588032510 | Diana Dantian Lee Pllc | Internal Medicine | 503 Sierra Peak Ct, Henderson, NV 89052-2662 | 2015-09-08 |
| 1528221165 | Robert Joseph Paulino | Internal Medicine | 2151 Village Walk Dr Apt 15303, Henderson, NV 89012-5754 | 2008-07-03 |
| 1609408111 | 24/7 Apollo Healthcare Inc. | Internal Medicine | 2850 W Horizon Ridge Pkwy Ste 200, Henderson, NV 89052-4395 | 2020-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114449832 | West Galeno Inc. | Internal Medicine | 3365 W Craig Rd Ste 9, North Las Vegas, NV 89032-5105 | 2017-07-14 |
| 1558627885 | Geriatric Solutions LLC | Internal Medicine | 9278 Monterey Cliffs Ave, Las Vegas, NV 89148-2827 | 2012-04-11 |
| 1972714640 | David Carl Johnson | Internal Medicine | 1675 Granite Dr, Reno, NV 89509-3999 | 2007-05-24 |
| 1205281953 | Craig M Jorgenson Md Ltd | Internal Medicine | 9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7949 | 2016-05-02 |
| 1609119569 | Ronald Tan | Internal Medicine | 6900 N Pecos Rd, North Las Vegas, NV 89086 | 2013-03-28 |
| 1861769713 | Brogan, Dopf, P.C. | Internal Medicine | 5250 Neil Rd, #207, Reno, NV 89502-6542 | 2011-11-21 |
| 1629041041 | Dean Tsai | Internal Medicine | 8655 S Eastern Ave, Las Vegas, NV 89123-2839 | 2006-02-08 |
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| 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.