Organization Active NPI

Nobel Hospice Care Inc

  • Community Based Hospice Care Agency
  • Colorado Springs, CO
National Provider Identifier
1275239709
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Dec 28, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 061633
Certified
Nov 10, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Anas T Sallam Individual 5% Or Greater Indirect Ownership InterestPresident, Ceo, Cfo Dec 23, 2023 100%
Corporate OfficerPresident, Ceo, Cfo Dec 23, 2023 100%
Corporate DirectorPresident, Ceo, Cfo Dec 23, 2023 100%
Roxane Holmes Individual W-2 Managing EmployeeAd; Jun 1, 2023
Karma Home Health Inc Organization, Anaheim, CA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 23, 2023 100%
Khurram J Khan Individual Contracted Managing EmployeeMD; 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.

Facilities with the same owner 1

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

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

Verify at the official NPI Registry.