Active NPI
Nobel Hospice Care Inc
- Community Based Hospice Care Agency
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- NOBEL HOSPICE CARE INC
- Practice address
- 102 S Tejon Street Ste 1100
Office 1125
Colorado Springs, CO 80903 - Phone
- (719) 653-2792
- NPI assigned
- Feb 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anas Sallam
- Title
- Director
- Phone
- (719) 653-2792
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
102 S Tejon Street Ste 1100
Office 1125
Colorado Springs, CO 80903
Mailing address
102 S Tejon Street Ste 1100
Office 1125
Colorado Springs, CO 80903
Phone (719) 653-2792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230317001917 | CO | Part A Provider - Hospice | 9335513142 | Practice locations: Colorado Springs, CO |
Hospice certification: CCN 061633
- Legal name
- NOBEL HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 10, 2023
- Last certification
- Oct 27, 2023
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Enrollment address
- 102 S Tejon St
Ste 1100 Office 1125
Colorado Springs, CO 80903-2253
Care Compare: Hospice
Medicare Care Compare- Listed as
- Nobel Hospice Care Inc
- Certified
- Nov 10, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Anas T Sallam | 5% Or Greater Indirect Ownership Interest | Dec 23, 2023 | 100% |
| Corporate Officer | Dec 23, 2023 | 100% | |
| Corporate Director | Dec 23, 2023 | 100% | |
| Roxane Holmes | W-2 Managing Employee | Jun 1, 2023 | |
| Karma Home Health Inc | 5% Or Greater Direct Ownership Interest | Dec 23, 2023 | 100% |
| Khurram J Khan | Contracted Managing Employee | Jun 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Interventional Pain Medicine Physician
- Marshall, MI
- NPI 1417164062
Contracted Managing Employee
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Cheyenne, WY
- NPI 1154027506
Karma Home Health Inc
NPI Registry JSON
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": "1275239709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S TEJON STREET STE 1100",
"address_2": "OFFICE 1125",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80903",
"telephone_number": "719-653-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S TEJON STREET STE 1100",
"address_2": "OFFICE 1125",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80903",
"telephone_number": "719-653-2792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOBEL HOSPICE CARE 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": "719-653-2792"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- 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.