Healthcare Provider Details

I. General information

NPI: 1699447896
Provider Name (Legal Business Name): AMARIS HOSPICE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 10/06/2021
Certification Date: 10/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11059 E BETHANY DR STE 105B
AURORA CO
80014-2617
US

IV. Provider business mailing address

11059 E BETHANY DR STE 105B
AURORA CO
80014-2617
US

V. Phone/Fax

Practice location:
  • Phone: 720-502-6355
  • Fax: 303-200-7135
Mailing address:
  • Phone: 720-502-6355
  • Fax: 303-200-7135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: GORMAH PINKY KOLLEH
Title or Position: CEO
Credential:
Phone: 720-502-6355