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 (PRESIDENT/CEO)
(860) 221-0793
Entity
Organization
Contact information
Practice address
950 WINTER ST, SUITE 4830, WALTHAM, MA 02451-1424
(781) 472-8640
(781) 472-8747
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(215) 902-8241
(215) 902-8809
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
7M6K
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0608793
—
MA
Enumeration date
07/01/2006
Last updated
11/04/2015
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