OPTUM PALLIATIVE AND HOSPICE CARE, INC. (NPI# 1487607040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487607040 |
| Entity Type | Organization |
| Organization Name | OPTUM PALLIATIVE AND HOSPICE CARE, INC. |
| Other Organization Name | EVERCARE HOSPICE, INC. |
| Practice Address |
12018 Sunrise Valley Drive, Suite 401 Reston VA 20191-3434 |
| Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
| Practice Telephone | 5712625200 |
| Practice Fax Number | 5715217249 |
| Mailing Telephone | 2159028241 |
| Mailing Fax Number | 2159028809 |
| Enumeration Date | 2006-05-17 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | HSP-0625 | VA | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | HSP12137 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4910427 | 05 |
| 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 |
| Street Address |
12018 SUNRISE VALLEY DRIVE, SUITE 401 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043754708 | Compassus Op of Virginia LLC | Hospice Care, Community Based | 12018 Sunrise Valley Dr, Ste 400, Reston, VA 20191-3432 | 2016-12-14 |
| 1427432624 | The Medical Team, Inc | Hospice Care, Community Based | 1902 Campus Commons Dr, Suite 650a, Reston, VA 20191 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112678 | A Step Above Health Services | Hospice Care, Community Based | 2450 Randolph Creek Rd, New Canton, VA 23123-2418 | 2020-10-23 |
| 1881293835 | Riverside Health Source LLC | Hospice Care, Community Based | 289 Hospital Rd, Tappahannock, VA 22560-5145 | 2020-10-21 |
| 1699373449 | Affinity Care of Virginia LLC | Hospice Care, Community Based | 714 Thimble Shoals Blvd Ste C, Newport News, VA 23606-2574 | 2020-10-14 |
| 1730786138 | Serenity First, LLC | Hospice Care, Community Based | 4915 Fitzhugh Ave, Richmond, VA 23230-3544 | 2020-10-08 |
| 1477169811 | Advance Care Hospice, LLC | Hospice Care, Community Based | 585 Southlake Blvd Ste A, North Chesterfield, VA 23236-3198 | 2020-09-21 |
| 1689285660 | Va State Transportation LLC | Hospice Care, Community Based | 11079 Quail Whistle Dr, Glen Allen, VA 23059-5200 | 2020-08-12 |
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1114550134 | Athc - Hospice, LLC | Hospice Care, Community Based | 1121 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2020-02-18 |
| 1548893951 | 24/7 We Care, LLC | Hospice Care, Community Based | 900 Granby St, Norfolk, VA 23510-2503 | 2020-02-14 |
| 1548806573 | All-4-one Home Healthcare Services, Inc. | Hospice Care, Community Based | 1629 Salem Rd Ste 101, Virginia Beach, VA 23456-5494 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OPTUM PALLIATIVE AND HOSPICE CARE, INC..
| 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.