NPIMap

Organization Active NPI

Legacy Hospice LLC

Doing business as New Century Hospice of Denver

  • Community Based Hospice Care Agency
  • Denver, CO
National Provider Identifier
1366011017
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LEGACY HOSPICE LLC
Doing business as
New Century Hospice of Denver
Practice address
425 S Cherry St Ste 750
Denver, CO 80246-1272
Phone
(303) 753-2329
Fax
(303) 753-2342
NPI assigned
Jun 17, 2021
Last updated
Dec 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LEGACY HOSPICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Janet Combs
Title
Manager, Licensing & Certification
Phone
(913) 814-2013

Specialties & licenses 1

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

Addresses

Primary practice location

425 S Cherry St Ste 750
Denver, CO 80246-1272

Mailing address

655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601
Phone (704) 662-0416

Other names 1

  • New Century Hospice of Denver Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000927 CO Part A Provider - Hospice 2365584430 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castle Rock, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366011017. Details of each certification follow.

Hospice certification: CCN 061570

Legal name
LEGACY HOSPICE LLC
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 6, 2010
Last certification
Nov 13, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Mar 28, 2009 in CO
Enrollment address
380 Perry St
Ste 210
Castle Rock, CO 80104-2485

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
GentivaCCN 061570 · All quality measures
Ownership
For-Profit
Certified
May 6, 2010
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Legacy Hospice LLC

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

380 Perry St
Ste 210
Castle Rock, CO 80104
Phone (303) 660-6107

412 Jerry St
Castle Rock, CO 80104
Phone (303) 660-6107

425 S Cherry St
Ste 750
Denver, CO 80246
Phone (303) 753-2329

8601 Turnpike Dr
Unit 210
Westminster, CO 80031
Phone (303) 440-0205

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
CH Services Midco Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Jan 19, 2016 100%
Kentucky Homecare Parent Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Ronald C Lazas Individual Corporate OfficerExecutive VP and General Counsel Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Jan 19, 2016 100%
James J Ballard Individual Corporate OfficerChief Corporate Counsel Dec 31, 2021
David Robinson Arnold Individual Corporate OfficerVP and Controller Dec 31, 2021
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
New Century Hospice Inc Organization, Mooresville, NC Corporation 5% Or Greater Direct Ownership Interest Mar 1, 2015 100%
Kentucky Homecare Holdings, Inc. Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 17, 2021 100%
David Allen Causby Individual Corporate OfficerChief Executive Officer / President Apr 27, 2021
Charlotte Buyer, Inc. Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Curo Health Services LLC Organization, Mooresville, NC For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 19, 2016 100%
Lillie Love Individual W-2 Managing EmployeeAdministrator Dec 19, 2021
Janet L Combs Individual Corporate OfficerVice President, Licensure Nov 1, 2021
Centerwell Health Services Inc Organization, Atlanta, GA For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Hospice Development Company 2, LLC Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Jan 19, 2016 100%
CH Services Group Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Jan 19, 2016 100%
CH Services Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Jan 19, 2016 100%

Owners & managing parties with NPI records 22

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

View all 22

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1366011017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRAWLEY SCHOOL RD STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179601",
            "telephone_number": "704-662-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 750",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461272",
            "telephone_number": "303-753-2329",
            "fax_number": "303-753-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY HOSPICE LLC",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "MANAGER, LICENSING & CERTIFICATION",
        "authorized_official_telephone_number": "913-814-2013"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Century Hospice of Denver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Century Hospice of Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.