OPTUM PALLIATIVE AND HOSPICE CARE, INC. (NPI# 1225081888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225081888 |
Entity Type | Organization |
Organization Name | OPTUM PALLIATIVE AND HOSPICE CARE, INC. |
Other Organization Name | EVERCARE HOSPICE, INC. |
Practice Address |
6095 Marshalee Dr Elkridge MD 21075-6053 |
Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
Practice Telephone | 4103793599 |
Practice Fax Number | 8669506039 |
Mailing Telephone | 2159028241 |
Mailing Fax Number | 2159028809 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2015-11-04 |
Authorized Official Name | JOHN O. ENDERLE (PRESIDENT/CEO) |
Authorized Official Telephone | 8602210793 |
Is Organization Subpart | Y |
Parent Organization Name | COLLABORATIVE CARE HOLDINGS, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | H1538 | MD | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 411947901 | 05 | |
MD | 411947902 | 05 | |
MD | 411947907 | 05 | |
MD | 347001600 | 05 |
Other Name | Type Code |
---|---|
Evercare Hospice, Inc. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114241700 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 1900 E Golf Rd Fl 2, Schaumburg, IL 60173-5834 | 2010-03-25 |
1922274844 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 7755 Paragon Road, Suite 106, Dayton, OH 45459-4052 | 2008-04-30 |
1609911817 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 536 Chapel Hills Drive, Suite 120, Colorado Springs, CO 80920 | 2007-02-21 |
1689735409 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 6245 E. Broadway, 6th Floor, Suite 650, Tucson, AZ 85711-4019 | 2006-12-13 |
1518079383 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 3120 W Lake Center Dr, Santa Ana, CA 92704-6917 | 2006-08-31 |
1952412025 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 6455 So. Yosemite Street, 6th Floor, Englewood, CO 80111-5139 | 2006-08-31 |
1437189131 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 33 Inverness Center Parkway, Hoover, AL 35242 | 2006-07-05 |
1700815099 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 3003 N. Central Ave., Suite 800, Phoenix, AZ 85012 | 2006-07-01 |
1205883311 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 13655 Riverport Dr, Maryland Heights, MO 63043-4812 | 2006-05-27 |
1174579890 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 3720 Da Vinci Court, Suite 400, Norcross, GA 30092 | 2006-05-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Optum Palliative and Hospice Care, Inc. | Unitedhealth Group Center, 9900 Bren Road East, Minnetonka, MN 55343 |
Oregon Corporations, Companies and Business Names | OPTUM PALLIATIVE AND HOSPICE CARE, INC. | Unitedhealth Group Center, 9900 Bren Road East, Minnetonka, MN 55343 |
Massachusetts Corporations | OPTUM PALLIATIVE AND HOSPICE CARE, INC. | Unitedhealth Group Center, 9900 Bren Road East, Minnetonka, MN 55343 |
Street Address |
6095 MARSHALEE DR |
City | ELKRIDGE |
State | MD |
Zip Code | 21075-6053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073519963 | Mary Spangler | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2005-06-24 |
1275077083 | Susane Njomo | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-12-13 |
1083158042 | Kristopher Derbyshire | Nurse Practitioner | 6095 Marshalee Dr, United Health Group/optum, Elkridge, MD 21075-6053 | 2016-12-10 |
1023550308 | Angela Erin Knotts | Nurse Practitioner | 6095 Marshalee Dr, Suite 100, Elkridge, MD 21075-6053 | 2016-11-17 |
1235684325 | Traci Stokes | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-08-18 |
1164879904 | Illya Payne | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-05-23 |
1922461227 | Olasunmbo I Feyisetan | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075 | 2016-04-04 |
1457661449 | Jennifer Macadam | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2010-10-08 |
1366772964 | Jakarta A Blakeney | Nurse Practitioner | 6095 Marshalee Dr, Ste 100, Elkridge, MD 21075-6053 | 2010-01-04 |
1043540834 | Regina Clare Birch | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2009-12-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
Find all providers in zip 21075 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336331362 | Evercare Hospice, Inc. | Hospice Care, Community Based | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2007-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265046387 | Integrity Living, LLC | Hospice Care, Community Based | 1637 Argonne Dr, Baltimore, MD 21218-1625 | 2020-09-04 |
1033735667 | Jil Home Health Services, LLC | Hospice Care, Community Based | 222 Marshall Ct, Havre De Grace, MD 21078-4103 | 2020-06-19 |
1386204402 | Amedisys Maryland LLC | Hospice Care, Community Based | 1400 Mercantile Ln Ste 228, Largo, MD 20774-5350 | 2019-06-20 |
1396216495 | First Choice Health Services LLC | Hospice Care, Community Based | 14802 Bowie Farm Ct, Bowie, MD 20721-6226 | 2018-12-16 |
1336653955 | A Nurse of Your Own & Co Recruitment Firm LLC | Hospice Care, Community Based | 6 Cedar Tree Ct Apt G, Cockeysville, MD 21030 | 2017-11-17 |
1194135749 | Talbot Hospice Foundation, Inc | Hospice Care, Community Based | 586 Cynwood Dr, Easton, MD 21601-3805 | 2014-05-05 |
1609068980 | Calvert Hospice Physician | Hospice Care, Community Based | 238 Merrimac Ct, Prince Frederick, MD 20678 | 2007-08-10 |
1447440730 | Gilchrist Hospice Care Physician | Hospice Care, Community Based | 11311 Mccormick Rd, Suite 350, Hunt Valley, MD 21031-1004 | 2007-08-01 |
1982894648 | Joseph Richey House, Inc | Hospice Care, Community Based | 838 N Eutaw St, Baltimore, MD 21201-4624 | 2007-07-30 |
1477753937 | St. Mary's Hospice Physician - Medicaid | Hospice Care, Community Based | 22699 Washington St., Leonardtown, MD 20650-0650 | 2007-07-23 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.