12080 BELLAIRE WAY OPERATIONS LLC (NPI# 1013967132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013967132 |
| Entity Type | Organization |
| Organization Name | 12080 BELLAIRE WAY OPERATIONS LLC |
| Other Organization Name | ELMS HAVEN CENTER |
| Practice Address |
12080 Bellaire Way Thornton CO 80241-3600 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 3034502700 |
| Practice Fax Number | 3034502800 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | THOMAS DIVITTORIO (CFO, TREASURER, ASST SECRETARY) |
| Authorized Official Telephone | 6104446350 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNBRIDGE HEALTHCARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0247 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | SECURE HORIZONS | 522089013 | 01 |
| CO | COLORADO ACCESS | 52208901301 | 01 |
| CO | 05652961 | 05 | |
| CO | ROCKY MTN HMO | 522089013 | 01 |
| CO | EVERCARE | 7100494 | 01 |
| Other Name | Type Code |
|---|---|
| Elms Haven Center | Doing Business As Name - Organization |
| Street Address |
12080 BELLAIRE WAY |
| City | THORNTON |
| State | CO |
| Zip Code | 80241-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205474533 | Emily Marie Iverson | Occupational Therapist | 12080 Bellaire Way, Thornton, CO 80241-3600 | 2019-12-17 |
| 1679133144 | Marcus John Bourquin | Physical Therapy Assistant | 12080 Bellaire Way, Thornton, CO 80241-3600 | 2019-06-17 |
| 1750948485 | Morgan Nicole Lambert | Speech-Language Pathologist | 12080 Bellaire Way, Thornton, CO 80241-3600 | 2019-05-29 |
| 1174084917 | Jessica Christine Lenert | Occupational Therapy Assistant | 12080 Bellaire Way, Thornton, CO 80241-3600 | 2019-03-26 |
| 1033626163 | Danielle Mitchell | Occupational Therapist | 12080 Bellaire Way, Thornton, CO 80241-3600 | 2018-01-10 |
| 1215486303 | Lauren Jane Burke | Occupational Therapist | 12080 Bellaire Way, Thornton, CO 80241-3600 | 2016-09-29 |
| 1881085116 | Kayla Litton | Occupational Therapy Assistant | 12080 Bellaire Way, Thornton, CO 80241-3600 | 2015-02-09 |
| 1881017440 | Michelle Berg | Speech-Language Pathologist | 12080 Bellaire Way, Thornton, CO 80241-3600 | 2014-01-31 |
| 1609111731 | Victoria Bartter | Speech-Language Pathologist | 12080 Bellaire Way, Thornton, CO 80241-3600 | 2012-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787991 | Melanie Tyler | Counselor | 12301 Pennsylvania, Suite 101, Thornton, CO 80241 | 2020-03-31 |
| 1487218699 | Diane Marie Hansen | Counselor | 491 E 133rd Way, Thornton, CO 80241 | 2019-04-24 |
| 1164979712 | James Brannan | Contractor | 13364 Birch Court, Thornton, CO 80241 | 2016-09-01 |
| 1083925200 | Keralee Vought | Social Worker | 12015 Grape St, Thornton, CO 80241 | 2010-06-23 |
| 1770767675 | Charles E Januschka | Chiropractor | 3953b E 120th Ave, Thornton, CO 80241 | 2007-12-27 |
| 1407928724 | Erica A Derby | Dentist | 2800 East 136th Avenue, Thornton, CO 80241 | 2006-11-14 |
| 1558445361 | Carolyn Watt Mauterer | Dentist | 2800 E 136th Ave, Thornton, CO 80241 | 2006-10-25 |
| 1215046842 | Adams 12 Five Star Schools | Local Education Agency (LEA) | 1500 E 128th Avenue, Adams 12 Five Star Schools C/o Sandra Sellstrom, Thornton, CO 80241 | 2006-08-29 |
| 1366932162 | University of Colorado Hospital Authority | Clinic/Center | 12020 Colorado Blvd, Thornton, CO 80241 | 2018-05-16 |
| 1376077438 | Spencer Del Moral | Student in an Organized Health Care Education/Training Program | 4075 E 128th Ave, Thornton, CO 80241 | 2017-04-16 |
| Find all providers in zip 80241 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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|---|---|---|---|---|
| 1073626891 | Catholic Health Initiatives Colorado | Skilled Nursing Facility | 2501 E 104th Ave, Thornton, CO 80233-4401 | 2006-08-16 |
| 1902882178 | 8451 Pearl St Operating Company | Skilled Nursing Facility | 8451 Pearl St, Thornton, CO 80229-4804 | 2005-12-20 |
| 1518407410 | Vibra Hospital of Denver LLC | Skilled Nursing Facility | 8451 Pearl St, Thornton, CO 80229-4804 | 2017-02-27 |
| 1235674326 | Sunny Acres Healthcare, Inc. | Skilled Nursing Facility | 2501 E 104th Ave, Thornton, CO 80233-4401 | 2016-12-27 |
| 1124489711 | Chi Living Communities | Skilled Nursing Facility | 2501 E 104th Ave, Thornton, CO 80233-4401 | 2016-03-10 |
| 1447431473 | Solavista Holdings LLC | Skilled Nursing Facility | 8451 Pearl St, Thornton, CO 80229-4804 | 2007-11-19 |
| 1316989163 | 8451 Pearl Street Operating Company, LLC | Skilled Nursing Facility | 8451 Pearl St, Thornton, CO 80229-4804 | 2006-06-12 |
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| 1780235234 | Snh Co Tenant LLC | Skilled Nursing Facility | 2501 Little Bookcliff Drive, Grand Junction, CO 81501-8802 | 2019-09-26 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1043701337 | Center At Centerplace, LLC | Skilled Nursing Facility | 4356 24th Street Rd, Greeley, CO 80634-3330 | 2018-05-23 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1720520729 | Meghan Ricketson | Skilled Nursing Facility | 5962 W Pacific Cir, Lakewood, CO 80227-2583 | 2016-11-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.