SANGRE DE CRISTO COMMUNITY CARE HOSPICE EAST NPI 1770154601

NPI Information

NPI: 1770154601
Provider Name: SANGRE DE CRISTO COMMUNITY CARE HOSPICE EAST
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 06D0910104

Address:
207 COLORADO AVE STE A
LA JUNTA, CO
ZIP 81050
Phone: (719) 383-9085
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SANGRE DE CRISTO COMMUNITY CARE HOSPICE EAST is a hospice care community based in La Junta, CO. SANGRE DE CRISTO COMMUNITY CARE HOSPICE EAST NPI is 1770154601. The provider is registered as an organization entity type.

The provider's business location address is:

207 COLORADO AVE STE A
LA JUNTA, CO
ZIP 81050-517
Phone: (719) 383-9085
Fax: (719) 283-1175

The provider's authorized official is Janell Solomon .
The authorized official title is Director Of Compliance and has the following contact phone number (719) 542-0032.

The CLIA number assigned to this NPI record is 06D0910104 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2021 and was last updated on 7/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	19715501	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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