| Organization Name: | COLORADO HOSPICE LLC |
| NPI Number: | 1598068363 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENJAMIN M HANSON (SR. VP AND GENERAL COUNSEL) |
| Mailing Address: | 691 County Road 233 Suite A4 Durango |
| State: | CO US |
| Postal Code: | 813016580 |
| Phone Number: | 9702470430 |
| Fax Number: | 9702471927 |
| NPI Enumeration Date: | 12/16/2010 |
| NPI Last Update Date: | 12/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 17Z782 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |