These base stations (we call them gateways) are owned and operated by individuals, communities or companies. The gateways demodulate transmissions and forward them to The Things Network's public community network.
Have been using https://www.home-assistant.io/components/emulated_hue/ for sometime. It does not use HA Cloud though (not required actually).
With this, all the components registered in HA are emulated as hue devices for Alexa.
Note: I use Echo Plus, which has the abilities to discover devices. Not sure if this works with Echo or Dot.
RS485 + Modbus
There are some hardlimits (like length, number of devices though)