OPTUM PALLIATIVE AND HOSPICE CARE, INC.
NPI 1205883311
Hospice Care, Community Based in Maryland Heights, MO

NPI Status: Active since May 27, 2006

Contact Information

13655 RIVERPORT DR
MARYLAND HEIGHTS, MO
ZIP 63043
Phone: (314) 592-3670
Fax: (314) 592-3681

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  • Organization
  • Hospice Care, Community Based

About OPTUM PALLIATIVE AND HOSPICE CARE, INC.

This page provides the complete NPI Profile along with additional information for Optum Palliative And Hospice Care, Inc., a provider established in Maryland Heights, Missouri operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1205883311 assigned on May 2006. The practitioner's primary taxonomy code is 251G00000X with license number 169-5HO (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's former legal business name is Evercare Hospice Inc.. The authorized official of this NPI record is John O. Enderle (President/ceo)

NPI
1205883311
Provider Legal Name
OPTUM PALLIATIVE AND HOSPICE CARE, INC.
Other Organization Name
EVERCARE HOSPICE INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043
Location Phone
(314) 592-3670
Location Fax
(314) 592-3681
Mailing Address
PO BOX 15645 LAS VEGAS, NV 89114
Mailing Phone
(215) 902-8241
Mailing Fax
(314) 592-3681
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-27-2006
Last Update Date
11-04-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
169-5HO
License State
MO

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251G00000XAgencies

Hospice Care, Community Based

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN O. ENDERLE

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(860) 221-0793

Reviews for OPTUM PALLIATIVE AND HOSPICE CARE, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205883311
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205168632
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 6 + 8 + 6 + 3 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1205883311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649462201DR. SHAWN CHRISTOPHER MERYS MD, MPH
Individual
Preventive Medicine (Occupational Medicine)13655 RIVERPORT DR UNITEDHEALTHCARE/OPTUMHEALTH
MARYLAND HEIGHTS, MO 63043
(314) 592-7232
1700189370 LATINA R GASTON MA
Individual
Counselor (Professional)13655 RIVERPORT DR
MARYLAND HEIGHTS, MO 63043
(800) 548-6549
1386972925 CHRISTINE R GOTTMAN A.N.P.
Individual
Nurse Practitioner (Adult Health)13655 RIVERPORT DR
MARYLAND HEIGHTS, MO 63043
(314) 592-7055
1457905978 HAROLYN JENNINGS-FINGER NURSE PRACTITIONER
Individual
Nurse Practitioner (Primary Care)13655 RIVERPORT DR
MARYLAND HEIGHTS, MO 63043
(314) 592-7000
1669662623MS. ERIN KATHLEEN GOULD M.S.E., LPC
Individual
Counselor (Professional)13655 RIVERPORT DR
MARYLAND HEIGHTS, MO 63043
(612) 474-2780
1689151979 FELICIA ADRIA BENSON APRN
Individual
Nurse Practitioner (Family)13655 RIVERPORT DR
MARYLAND HEIGHTS, MO 63043
(314) 561-9419
1598158693 CHARLOTTE MOORE FNP-C
Individual
Nurse Practitioner (Family)13655 RIVERPORT DR
MARYLAND HTS, MO 63043
(314) 592-7000
1235861766 JEFFREY THOMAS SHADRACH AGNP
Individual
Nurse Practitioner (Adult Health)13655 RIVERPORT DR
MARYLAND HEIGHTS, MO 63043
(314) 592-7000
1841986569 LISA BEDARD PHARMD
Individual
Pharmacist13655 RIVERPORT DR
MARYLAND HEIGHTS, MO 63043
(618) 322-3991
1982179446 MARC DAVID ARCHER FNP-C
Individual
Nurse Practitioner (Family)13655 RIVERPORT DR
MARYLAND HEIGHTS, MO 63043
(816) 947-0327
1558714535 ANGELA LAURICE GITMAN FNP-C
Individual
Nurse Practitioner (Family)13655 RIVERPORT DR
MARYLAND HEIGHTS, MO 63043
(314) 704-4937
1568180289 KAY MICHELLE WUNDERLICH FNP-C
Individual
Nurse Practitioner (Family)13655 RIVERPORT DR
MARYLAND HEIGHTS, MO 63043
(314) 254-1865
1053782276 PHYLICIA GROSSICH FNP-BC
Individual
Nurse Practitioner (Family)13655 RIVERPORT DR
MARYLAND HEIGHTS, MO 63043
(314) 254-1865

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205883311, enumerated in the NPI registry as an "organization" on May 27, 2006

The provider is located at 13655 Riverport Dr Maryland Heights, Mo 63043 and the phone number is (314) 592-3670

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

This NPI record was last updated on May 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.