PONDEROSA CARE COMMUNITIES C, LLC (NPI# 1700864782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700864782 |
| Entity Type | Organization |
| Organization Name | PONDEROSA CARE COMMUNITIES C, LLC |
| Other Organization Name | SIERRA REHABILITATION AND CARE COMMUNITY |
| Practice Address |
1432 Depew St Lakewood CO 80214-2237 |
| Mailing Address |
12136 W Bayaud Ave Suite 200 Lakewood CO 80228-2115 |
| Practice Telephone | 3032381375 |
| Practice Fax Number | 3032380852 |
| Mailing Telephone | 3039873088 |
| Mailing Fax Number | 3039870434 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | MS. MARY KORETKE (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 3039873088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0098 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 16876334 | 05 |
| Other Name | Type Code |
|---|---|
| Sierra Rehabilitation and Care Community | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366801888 | Ponderosa Care Communities C, LLC | Skilled Nursing Facility | 1432 Depew St, Lakewood, CO 80214-2237 | 2016-02-11 |
| Street Address |
1432 DEPEW ST |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80214-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366801888 | Ponderosa Care Communities C, LLC | Skilled Nursing Facility | 1432 Depew St, Lakewood, CO 80214-2237 | 2016-02-11 |
| 1215304266 | Gregory Arthur Linge | Speech-Language Pathologist | 1432 Depew St, Lakewood, CO 80214-2237 | 2015-08-25 |
| 1851707392 | Ashley Skowronski | Speech-Language Pathologist | 1432 Depew St, Lakewood, CO 80214-2237 | 2014-07-04 |
| 1235541798 | Terri Cusick | Speech-Language Pathologist | 1432 Depew St, Lakewood, CO 80214-2237 | 2014-06-02 |
| 1790126472 | Lindsay Brooke Montgomery | Occupational Therapy Assistant | 1432 Depew St, Lakewood, CO 80214-2237 | 2013-07-10 |
| 1669720223 | Emily Kristin Freimann Dalton | Physical Therapy Assistant | 1432 Depew St, Lakewood, CO 80214 | 2012-08-29 |
| 1033483862 | Mary Elizabeth Benson | Specialist | 1432 Depew St, Lakewood, CO 80214-2237 | 2012-02-24 |
| 1700150521 | Julie Ann Pimple | Specialist | 1432 Depew St, Lakewood, CO 80214-2237 | 2012-02-24 |
| 1992959969 | Marilu B Silivanch | Speech-Language Pathologist | 1432 Depew St, Lakewood, CO 80214-2237 | 2008-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| 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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| 1124656202 | Bedrock Hcs At Daytona Fl LLC | Skilled Nursing Facility | 1776 Avenue of The States Ste 301, Lakewood, NJ 08701-4592 | 2020-04-01 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1639631104 | West Salem Operations LLC | Skilled Nursing Facility | 23 Shenandoah Dr, Lakewood, NJ 08701-4979 | 2019-04-03 |
| 1720520729 | Meghan Ricketson | Skilled Nursing Facility | 5962 W Pacific Cir, Lakewood, CO 80227-2583 | 2016-11-08 |
| 1932564994 | Loveland Elder Green House Homes for Life Enhancement | Skilled Nursing Facility | 12136 W Bayaud Ave Ste 200, Lakewood, CO 80228-2115 | 2015-12-17 |
| 1598176828 | Loveland Elder Green House Homes for Life Enrichment A Colorado Non | Skilled Nursing Facility | 12136 W Bayaud Ave, Suite 200, Lakewood, CO 80228-2115 | 2014-05-08 |
| 1588089676 | 7395 W Eastman Place Operations LLC | Skilled Nursing Facility | 7395 W. Eastman Place, Lakewood, CO 80227-1234 | 2014-02-26 |
| 1275855058 | Azura of Lakewood, LLC | Skilled Nursing Facility | 7395 West Eastman Place, Lakewood, CO 80227-5039 | 2010-02-22 |
| 1922147784 | W IIi, Inc. | Skilled Nursing Facility | 1655 Eaton St, Lakewood, CO 80214-1628 | 2007-02-06 |
| 1750431912 | Mile High Care Services LLC | Skilled Nursing Facility | 115 Ingalls St, Lakewood, CO 80226-1815 | 2007-01-11 |
| Find all providers in LAKEWOOD | ||||
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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.