Organization
OPTUM PALLIATIVE AND HOSPICE CARE, INC.
Active
Other names
Evercare Hospice, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN O. ENDERLE (SR. VP/CFO)
(860) 221-0793
Entity
Organization
Contact information
Practice address
75 S VALLE VERDE DR, SUITE 100, HENDERSON, NV 89012-3462
(952) 205-1263
(844) 727-9218
Mailing address
1009 WINDCROSS CT, SUITE 101, FRANKLIN, TN 37067-2678
(615) 224-5443
(844) 727-9218
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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