Organization Active NPI

Allelon Opco of Colorado, LLC

  • Community Based Hospice Care Agency
  • Pueblo, CO
National Provider Identifier
1285478990
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ALLELON OPCO OF COLORADO, LLC
Practice address
503 N Main St Ste 215
Pueblo, CO 81003-6107
Phone
(719) 242-0043
Fax
(866) 218-8035
NPI assigned
Jun 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Jack Byers
Title
Ceo
Phone
(918) 260-1998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

503 N Main St Ste 215
Pueblo, CO 81003-6107

Mailing address

1805 E 15TH St
Tulsa, OK 74104-4610
Phone (719) 242-0043

Other names 1

  • Allelon hospice and palliative care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241120003364 CO Part A Provider - Hospice 3476088972 Practice locations: Pueblo, CO

Hospice certification: CCN 061637

Legal name
ALLELON OPCO OF COLORADO, LLC
Doing business as
ALLELON HOSPICE AND PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 21, 2025
Last certification
Feb 21, 2025
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Aug 18, 2023 in CO
Enrollment address
503 N Main St
Ste 215
Pueblo, CO 81003-6107

Care Compare: Hospice

Medicare Care Compare
Listed as
Allelon Hospice and Palliative CareCCN 061637
Certified
Feb 21, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

503 N Main St
Ste 215
Pueblo, CO 81003
Phone (719) 242-0043

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Marla Velez Individual W-2 Managing EmployeeAd; Aug 18, 2023 9%
Jonathan Rhodes Individual 5% Or Greater Indirect Ownership InterestMember Aug 18, 2023 25%
Melchor Sipalay Individual Contracted Managing EmployeeMD; May 24, 2024 1%
Jeffrey W Young Individual 5% Or Greater Indirect Ownership InterestMember Aug 18, 2023 25%
Jack Byers Individual 5% Or Greater Indirect Ownership Interest Aug 18, 2023 25%
Operational/Managerial ControlManaging Member Aug 18, 2023 90%
Widgets, Inc. Organization, Tulsa, OK LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 18, 2023 100%
Operational/Managerial Control Aug 18, 2023 100%
Mark a Lietzke Individual 5% Or Greater Indirect Ownership InterestMember Aug 18, 2023 25%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1285478990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044610",
            "telephone_number": "719-242-0043",
            "fax_number": "866-218-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST STE 215",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810036107",
            "telephone_number": "719-242-0043",
            "fax_number": "866-218-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLELON OPCO OF COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-260-1998"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allelon hospice and palliative care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.