Provider Demographics
NPI:1346838208
Name:COLORADO PALLIATIVE & HOSPICE CARE OF THE FRONT RANGE
Entity type:Organization
Organization Name:COLORADO PALLIATIVE & HOSPICE CARE OF THE FRONT RANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:GRUHALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-220-4073
Mailing Address - Street 1:6551 S REVERE PKWY STE 125
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6468
Mailing Address - Country:US
Mailing Address - Phone:720-545-0800
Mailing Address - Fax:720-545-0801
Practice Address - Street 1:325 W SOUTH BOULDER RD STE 2
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1130
Practice Address - Country:US
Practice Address - Phone:720-545-0800
Practice Address - Fax:720-545-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based