NPIMap

Organization Active NPI

Legacy Hospice of Colorado Springs, LLC

  • Community Based Hospice Care Agency
  • Pueblo, CO
National Provider Identifier
1801467758
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LEGACY HOSPICE OF COLORADO SPRINGS, LLC
Practice address
1320 Fortino Blvd Ste C
Pueblo, CO 81008-2082
Phone
(719) 543-7847
NPI assigned
Jul 1, 2021
Organization subpart
Yes
Parent organization
LEGACY HOSPICE OF COLORADO SPRINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Janet Combs
Title
VP of Licensure
Phone
(704) 664-2876

Specialties & licenses 1

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

Addresses

Primary practice location

1320 Fortino Blvd Ste C
Pueblo, CO 81008-2082

Mailing address

655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601
Phone (704) 664-2876

Other identifiers 1

IdentifierTypeStateIssuer
9000156111MedicaidCO

Other names 1

  • Gentiva I Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131014000645 CO Part A Provider - Hospice 4284868902 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO; Pueblo, CO

Hospice certification: CCN 061583

Legal name
LEGACY HOSPICE OF COLORADO SPRINGS LLC
Doing business as
NEW CENTURY HOSPICE OF COLORADO SPRINGS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 24, 2014
Last certification
Aug 17, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Dec 29, 2012 in CO
Enrollment address
6270 Lehman Dr
Ste 150
Colorado Springs, CO 80918-1435

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
Gentiva ICCN 061583
Ownership
For-Profit
Certified
Jan 24, 2014
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Legacy Hospice of Colorado Springs LLC2 organizations share this tax ID, including this one
Part of
Legacy Hospice of Colorado Springs LLC

Other organizations with this tax ID 1

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

Member of 2

Organizations this organization is a member of, according to 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
Biliana Mailliard Individual W-2 Managing EmployeeAdministrator / Doo Dec 10, 2018
CH Services Midco Holdings Inc Organization, Mooresville, NC Corporation, Holding company, 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 OfficerSecretary & General Counsel Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, Holding company, 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
W-2 Managing EmployeeHome Office Administrator Dec 31, 2021
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
New Century Hospice Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 19, 2016 100%
Kentucky Homecare Holdings, Inc. Organization, Fort Worth, TX Corporation, Holding company, 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 Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 19, 2016 100%
Janet L Combs Individual Corporate OfficerVice President, Licensure Nov 1, 2021
Centerwell Health Services Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Hospice Development Company 2, LLC Organization, Mooresville, NC LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 19, 2016 100%
CH Services Group Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 19, 2016 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, Holding company, 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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1801467758",
    "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": "704-664-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 FORTINO BLVD STE C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082082",
            "telephone_number": "719-543-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOSPICE OF COLORADO SPRINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY HOSPICE OF COLORADO SPRINGS, LLC",
        "enumeration_date": "2021-07-01",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-664-2876"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000156111",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.