Healthcare Provider Details

I. General information

NPI: 1053024190
Provider Name (Legal Business Name): HOSPICE OF METRO DENVER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8299 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: 303-418-3000
  • Fax:
Mailing address:
  • Phone: 303-321-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: TIM J BOWEN
Title or Position: CEO
Credential:
Phone: 303-398-6203