Organization Name: | OPTUM PALLIATIVE AND HOSPICE CARE, INC. |
NPI Number: | 1205883311 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN O. ENDERLE (PRESIDENT/CEO) |
Mailing Address: | 13655 Riverport Dr Maryland Heights |
State: | MO US |
Postal Code: | 630434812 |
Phone Number: | 3145923670 |
Fax Number: | 3145923681 |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |