Healthcare Provider Details
I. General information
NPI: 1427041227
Provider Name (Legal Business Name): HOPEWEST
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2005
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2754 COMPASS DR STE 377
GRAND JUNCTION CO
81506-8723
US
IV. Provider business mailing address
3090 N 12TH ST UNIT B
GRAND JUNCTION CO
81506-2804
US
V. Phone/Fax
- Phone: 970-241-2212
- Fax: 970-257-2400
- Phone: 970-241-2212
- Fax: 970-257-2400
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 | 0443 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | 0443 |
| License Number State | CO |
VIII. Authorized Official
Name:
CASSANDRA
MITCHELL
Title or Position: PRESIDENT/CEO
Credential: MSN, MBA, RN
Phone: 970-241-2212