NPIMap

Organization Active NPI

Abode Healthcare Colorado, Inc

Doing business as Abode Hospice of Pueblo

  • Community Based Hospice Care Agency
  • Pueblo, CO
National Provider Identifier
1861097982
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 Pueblo
Practice address
1050 Eagleridge Blvd
Pueblo, CO 81008-2130
Phone
(719) 600-2231
Fax
(719) 600-2232
NPI assigned
Dec 4, 2020
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ABODE HEALTHCARE COLORADO, INCAs reported in NPPES

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

1050 Eagleridge Blvd
Pueblo, CO 81008-2130

Mailing address

1050 Eagleridge Blvd
Pueblo, CO 81008-2130
Phone (719) 600-2231

Other names 1

  • Abode Hospice of Pueblo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210621001588 CO Part A Provider - Hospice 8224250063 Practice locations: Pueblo, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861097982. Details of each certification follow.

Hospice certification: CCN 061616

Legal name
ABODE HEALTHCARE COLORADO INC.
Doing business as
ABODE HOSPICE OF COLORADO
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 28, 2021
Last certification
Jun 28, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 15, 2013 in DE
Enrollment address
1050 Eagleridge Blvd
Pueblo, CO 81008-2130

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 061616 · All quality measures
Ownership
For-Profit
Certified
Jun 28, 2021
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
06D2207054Abode Healthcare Colorado, Inc1050 Eagleridge Blvd, Pueblo, CO 81008Certificate of waiverDec 22, 2026

National Provider Directory

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

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.

Locations

1980 Dominion Way
Ste 101
Colorado Springs, CO 80918
Phone (719) 358-6428

4201 E Yale Ave
Denver, CO 80222
Phone (720) 353-4078

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

1050 Eagleridge Blvd
Pueblo, CO 81008
Phone (719) 600-2231

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%
Silverton Abode Holding Corporation Organization, Louisville, KY 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 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 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%
Rachael Worrath Individual W-2 Managing Employee Jun 30, 2023
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 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.

  • Abode Healthcare Colorado, Inc

    dba Abode Hospice of Colorado

    • Community Based Hospice Care Agency
    • Colorado Springs, CO
    • NPI 1326459025

    Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

    CMS ownership
  • Abode Healthcare Colorado, Inc.

    dba Abode Hospice of Colorado

    • Community Based Hospice Care Agency
    • Lakewood, CO
    • NPI 1427469113

    Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

    CMS ownership
  • Abode Healthcare Colorado, Inc.

    dba Abode Hospice of Colorado

    • Community Based Hospice Care Agency
    • Grand Junction, CO
    • NPI 1447611512

    Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

    CMS ownership
  • Premier Home Health Inc.

    dba Abode Home Health of Colorado

    • Home Health Agency
    • Grand Junction, CO
    • NPI 1093176166

    Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

    CMS ownership
  • Premier Home Health, Inc

    dba Abode Home Health of Colorado

    • Home Health Agency
    • Lakewood, CO
    • NPI 1023429719

    Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

    CMS ownership
  • Premier Home Health, Inc

    dba Abode Home Health of Colorado

    • Home Health Agency
    • Pueblo, CO
    • NPI 1093126781

    Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

    CMS ownership
  • Abilishealth Brownsville, LLC

    dba Adoration Home Health Brownsville

    • Home Health Agency
    • Brownsville, TN
    • NPI 1639659675

    Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreens Holding Company

    CMS ownership
  • Abilishealth Knoxville, LLC

    dba Adoration Home Health

    • Home Health Agency
    • Knoxville, TN
    • NPI 1255811295

    Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

    CMS ownership
  • Abilishealth Martin, LLC

    dba Adoration Home Health Martin

    • Home Health Agency
    • Martin, TN
    • NPI 1093295040

    Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

    CMS ownership
  • Abilishealth McMinnville, LLC

    dba Adoration Home Health McMinnville

    • Home Health Agency
    • McMinnville, TN
    • NPI 1275013229

    Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

    CMS ownership
  • Abilishealth Nashville, LLC

    dba Adoration Home Health Nashville South

    • Home Health Agency
    • Brentwood, TN
    • NPI 1346720398

    Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

    CMS ownership
  • Abode Hospice and Homecare of MN, LLC

    dba Hospice of the Midwest

    • Community Based Hospice Care Agency
    • Woodbury, MN
    • NPI 1538552757

    Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

    CMS ownership
View all 151

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1861097982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 EAGLERIDGE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082130",
            "telephone_number": "719-600-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 EAGLERIDGE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082130",
            "telephone_number": "719-600-2231",
            "fax_number": "719-600-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABODE HEALTHCARE COLORADO, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABODE HEALTHCARE COLORADO, INC",
        "enumeration_date": "2020-12-04",
        "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 Pueblo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abode Hospice of Pueblo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.