Active NPI
Allelon Opco of Colorado, LLC
- Community Based Hospice Care Agency
- Pueblo, CO
National Provider Identifier
1285478990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Care
- Certified
- Feb 21, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Marla Velez | W-2 Managing Employee | Aug 18, 2023 | 9% |
| Jonathan Rhodes | 5% Or Greater Indirect Ownership Interest | Aug 18, 2023 | 25% |
| Melchor Sipalay | Contracted Managing Employee | May 24, 2024 | 1% |
| Jeffrey W Young | 5% Or Greater Indirect Ownership Interest | Aug 18, 2023 | 25% |
| Jack Byers | 5% Or Greater Indirect Ownership Interest | Aug 18, 2023 | 25% |
| Operational/Managerial Control | Aug 18, 2023 | 90% | |
| Widgets, Inc. | 5% Or Greater Direct Ownership Interest | Aug 18, 2023 | 100% |
| Operational/Managerial Control | Aug 18, 2023 | 100% | |
| Mark a Lietzke | 5% Or Greater Indirect Ownership Interest | 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.
-
- Internal Medicine Physician
- Pueblo, CO
- NPI 1356390074
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.