NPI 1487607040

Optum Palliative and Hospice Care, INC.

Organisation Community Based Hospice Care Agency Reston, VA

Practice location

Address: 12018 Sunrise Valley Drive, Suite 401, Reston, VA 20191-3434
Phone: (571) 262-5200
Fax: (571) 521-7249
Mailing address: PO Box 15645, Las Vegas, NV 89114-5645

Authorised official

Name: John O Enderle
Title: President/Ceo
Phone: (860) 221-0793

Registered specialties (2)

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X Licence HSP12137 (VA)

Other Hospice Care, Community Based providers in Virginia →

Community Based Hospice Care Agency

Agencies Taxonomy 251G00000X Licence HSP-0625 (VA)

Registry record

NPI: 1487607040
Entity type: Organization
NPI issued: 17 May 2006
Record last updated: 4 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.