Healthcare Provider Details
I. General information
NPI: 1760241616
Provider Name (Legal Business Name): CO INPATIENT PALLIATIVE CARE SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2024
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
501 E HAMPDEN AVE
ENGLEWOOD CO
80113-2702
US
IV. Provider business mailing address
200 CORPORATE BLVD
LAFAYETTE LA
70508-3870
US
V. Phone/Fax
- Phone: 303-788-5000
- Fax: 303-788-6269
- Phone: 800-893-9698
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0002X |
| Taxonomy | Hospice and Palliative Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
SCHILLINGER
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 337-609-1221