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
6245 E. BROADWAY,, 6TH FLOOR, SUITE 650, TUCSON, AZ 85711-4019
(520) 407-8000
(520) 748-5120
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
HSPC3896
AZ
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSPC-3896
DOH LICENSE # - HOSPICE
AZ
Enumeration date
12/13/2006
Last updated
11/04/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us