| Organization Name: | OPTUM PALLIATIVE AND HOSPICE CARE, INC. |
| NPI Number: | 1215966353 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN O. ENDERLE (PRESIDENT/CEO) |
| Mailing Address: | 950 Winter St Suite 4830 Waltham |
| State: | MA US |
| Postal Code: | 024511424 |
| Phone Number: | 7814728640 |
| Fax Number: | 7814728747 |
| NPI Enumeration Date: | 07/01/2006 |
| NPI Last Update Date: | 11/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 7M6K |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |