Healthcare Provider Details
I. General information
NPI: 1366816027
Provider Name (Legal Business Name): SEASONS HOSPICE & PALLIATIVE CARE OF COLORADO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/18/2015
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9191 SHERIDAN BLVD STE 103
WESTMINSTER CO
80031-3011
US
IV. Provider business mailing address
6400 SHAFER CT STE 700
ROSEMONT IL
60018-4914
US
V. Phone/Fax
- Phone: 303-428-3107
- Fax:
- Phone: 847-692-1000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HEATHER
SISCEL
Title or Position: VP LEGAL
Credential:
Phone: 720-504-1309