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
4875 RIVERSIDE DR STE 104, MACON, GA 31210-1149
(478) 812-9299
(478) 912-9270
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
0011-0296-H
GA
251G00000X
Community Based Hospice Care Agency
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Other
Enumeration date
03/15/2007
Last updated
11/04/2015
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