Organization Active NPI

Abode Healthcare Colorado, Inc.

Doing business as Abode Hospice of Colorado

  • Community Based Hospice Care Agency
  • Grand Junction, CO
National Provider Identifier
1447611512
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ABODE HEALTHCARE COLORADO, INC.
Doing business as
Abode Hospice of Colorado
Practice address
744 Horizon CT Ste 110
Grand Junction, CO 81506-3915
Phone
(970) 658-8705
Fax
(970) 658-8706
NPI assigned
Mar 16, 2016
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Kevin McDaniel
Title
Secretary
Phone
(256) 810-1079

Specialties & licenses 1

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

Addresses

Primary practice location

744 Horizon CT Ste 110
Grand Junction, CO 81506-3915

Mailing address

744 Horizon CT Ste 110
Grand Junction, CO 81506-3915
Phone (970) 658-8705

Other names 1

  • Abode Hospice of Colorado Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180102001436 CO Part A Provider - Hospice 8224250063 Practice locations: Grand Junction, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447611512. Details of each certification follow.

Hospice certification: CCN 061605

Legal name
ABODE HEALTHCARE COLORADO INC.
Doing business as
ABODE HOSPICE OF COLORADO
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 20, 2018
Last certification
Jun 20, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 15, 2013 in DE
Enrollment address
744 Horizon CT
Ste 110
Grand Junction, CO 81506-3915

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Abode Hospice of ColoradoCCN 061605 · All quality measures
Ownership
For-Profit
Certified
Jun 20, 2018
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2137758Abode Healthcare Colorado, Inc744 Horizon Court, Suite 110, Grand Junction, CO 81506Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Abode Healthcare Colorado Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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
Jay Koeper Individual Corporate OfficerSecretary Jul 14, 2023
Corporate DirectorBoard Member Jul 14, 2023
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 29%
Brenda Hough Individual W-2 Managing EmployeeAdministrator Sep 14, 2020
Silverton Abode Holding Corporation Organization, Louisville, KY Created for acquisition, Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 28, 2019 100%
Margaret Sherry Pemberton Individual Corporate OfficerVice President Dec 3, 2021
Corporate DirectorBoard Member Dec 3, 2021
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Silverton Intermediate Holdings, Inc. Organization, Louisville, KY Created for acquisition, Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 28, 2019 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Silverton Holdings, Inc. Organization, Louisville, KY Created for acquisition, Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 28, 2019 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Abode Healthcare, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Direct Ownership Interest Mar 15, 2013 100%
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 29%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 68%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 60%
Michael a McMaude Individual Corporate OfficerPresident Mar 15, 2013
Corporate DirectorBoard Member Mar 15, 2013
Silverton Abode, LLC Organization, Louisville, KY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 28, 2019 100%

Facilities with the same owner 151

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

View all 151

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": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1447611512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 HORIZON CT STE 110",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063915",
            "telephone_number": "970-658-8705",
            "fax_number": "970-658-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 HORIZON CT STE 110",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063915",
            "telephone_number": "970-658-8705",
            "fax_number": "970-658-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABODE HEALTHCARE COLORADO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "256-810-1079"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abode Hospice of Colorado",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abode Hospice of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.