Organization
OPTUM PALLIATIVE AND HOSPICE CARE, INC.
Active
Other names
Evercare Hospice, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ENDERLE (PRESIDENT)
(860) 221-0793
Entity
Organization
Contact information
Practice address
3003 N. CENTRAL AVE., SUITE 800, PHOENIX, AZ 85012
(866) 658-4658
(602) 749-5999
Mailing address
1009 WINDCROSS CT, SUITE 103, FRANKLIN, TN 37067-2678
(615) 224-5443
(844) 727-9218
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
3566
AZ
251G00000X
Community Based Hospice Care Agency
HSPC3566
AZ
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
905747
EVERCARE SELECT
AZ
05
—
905747
—
AZ
Enumeration date
07/01/2006
Last updated
04/12/2016
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