Nobel Care Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NOBEL CARE HOSPICE INC

Practice address

1607 Capitol Ave Ste 326
Cheyenne, WY 82001

Phone

(949) 331-4843

NPI assigned

Feb 6, 2023

Last updated

Dec 28, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anas Sallam

Title

Director

Phone

(307) 205-5295

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154027506. Details of each certification follow.

• CCN 531532 Hospice · Active · Details

Hospice certification: CCN 531532

Legal name

NOBEL CARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 9, 2024

Last certification

Apr 3, 2024

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 6, 2023 in WY

Enrollment address

1607 Capitol Ave
Ste 326
Cheyenne, WY 82001-4525

Listed as

Nobel Care Hospice IncCCN 531532 · All quality measures

Certified

Apr 9, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sieghart H Ponhold, M.D

  • Family Medicine Physician
  • Norwalk, CA
  • NPI 1891883955

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Nobel Hospice Care Inc

  • Community Based Hospice Care Agency
  • Colorado Springs, CO
  • NPI 1275239709

  Karma Home Health Inc

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1154027506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 CAPITOL AVE STE 326",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82001",
            "telephone_number": "949-331-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 CAPITOL AVE STE 326",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82001",
            "telephone_number": "949-331-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBEL CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "SALLAM",
        "authorized_official_first_name": "ANAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-205-5295"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael F Nielsen, D.C.
• Kelli C. Niemeyer, D.D.S.
• Ninak Inc
• Amanda Niverson, MSW
• Joseph James Niverson
• Shannon Noble, RN
• Elizabeth Emily Nooney, FNP
• Evan David Norby, D.O.
• Jeannette Ruth Norrid
• Marlena Kristen Norris, BA

• Community Based Hospice Care Agency in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Community Based Hospice Care Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.