Organization
OPTUM PALLIATIVE AND HOSPICE CARE, INC.
Active
Parent organization
COLLABORATIVE CARE HOLDINGS, LLC
Other names
Evercare Hospice, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLLABORATIVE CARE HOLDINGS, LLC
Authorized official
JOHN O. ENDERLE (PRESIDENT/CEO)
(860) 221-0793
Entity
Organization
Contact information
Practice address
3120 W LAKE CENTER DR, SANTA ANA, CA 92704-6917
(714) 513-6630
(855) 212-0422
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
550001694
CA
251G00000X
Community Based Hospice Care Agency
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Other
Enumeration date
08/31/2006
Last updated
11/04/2015
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