| Organization Name: | MOUNT EVANS HOSPICE, INC. |
| NPI Number: | 1346284965 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLEY SHIMANSKI (PRESIDENT & CEO) |
| Mailing Address: | 3721 Evergreen Parkway Suite 9 Evergreen |
| State: | CO US |
| Postal Code: | 80439 |
| Phone Number: | 3036746400 |
| Fax Number: | 3036748813 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 0404 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |