Healthcare Provider Details

I. General information

NPI: 1598273914
Provider Name (Legal Business Name): HOSPICE OF METRO DENVER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2018
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8289 E LOWRY BLVD
DENVER CO
80230-7256
US

IV. Provider business mailing address

8289 E LOWRY BLVD
DENVER CO
80230-7256
US

V. Phone/Fax

Practice location:
  • Phone: 303-398-6262
  • Fax:
Mailing address:
  • Phone: 303-398-6266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. TIM BOWEN
Title or Position: CEO
Credential:
Phone: 303-780-4600