Provider Demographics
NPI:1487275590
Name:ALLIANT PALLIATIVE CARE AND HOSPICE CO LLC
Entity type:Organization
Organization Name:ALLIANT PALLIATIVE CARE AND HOSPICE CO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HERONIMUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-424-8000
Mailing Address - Street 1:12225 PECOS ST UNIT 100
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3629
Mailing Address - Country:US
Mailing Address - Phone:303-424-8000
Mailing Address - Fax:303-237-3907
Practice Address - Street 1:12225 PECOS ST UNIT 100
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3629
Practice Address - Country:US
Practice Address - Phone:303-424-8000
Practice Address - Fax:303-237-3907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based