Healthcare Provider Details

I. General information

NPI: 1932137809
Provider Name (Legal Business Name): HEART OF THE MOUNTAINS VOLUNTEER HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 03/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 FIRST STREET
HOT SULPHUR SPRINGS CO
80451-0140
US

IV. Provider business mailing address

PO BOX 140
HOT SULPHUR SPRINGS CO
80451-0140
US

V. Phone/Fax

Practice location:
  • Phone: 970-725-3378
  • Fax: 970-725-3378
Mailing address:
  • Phone: 970-725-3378
  • Fax: 970-725-3378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateCO

VIII. Authorized Official

Name: MRS. JOAN GASKINS
Title or Position: EXECUTIVE DIRECTOR
Credential: MBA
Phone: 970-725-3378