BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC (NPI# 1376540583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376540583 |
| Entity Type | Organization |
| Organization Name | BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC |
| Other Organization Name | BROOMFIELD SKILLED NURSING & REHABILITATION CENTER |
| Practice Address |
12975 Sheridan Blvd Broomfield CO 80020-1477 |
| Practice Telephone | 3037855800 |
| Practice Fax Number | 3037855801 |
| Mailing Telephone | 3037855800 |
| Mailing Fax Number | 3037855801 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | GLENN LEFKOVITZ (PRESIDENT) |
| Authorized Official Telephone | 8474128791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0030 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 37605216 | 05 |
| Other Name | Type Code |
|---|---|
| Broomfield Skilled Nursing & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
12975 SHERIDAN BLVD |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126991 | Jamie Michele Carr | Occupational Therapy Assistant | 12975 Sheridan Blvd, Broomfield, CO 80020-1477 | 2020-08-29 |
| 1598384851 | Michael Ademola Adeshewo | Occupational Therapy Assistant | 12975 Sheridan Blvd, Broomfield, CO 80020-1477 | 2020-04-15 |
| 1316592496 | Erin Brown | Occupational Therapy Assistant | 12975 Sheridan Blvd, Broomfield, CO 80020-1477 | 2019-08-06 |
| 1356994487 | Alexanderia Virginia Wolfe | Occupational Therapy Assistant | 12975 Sheridan Blvd, Broomfield, CO 80020-1477 | 2019-07-18 |
| 1902387111 | Elsa Johnson | Physical Therapist | 12975 Sheridan Blvd, Broomfield, CO 80020-1477 | 2018-08-25 |
| 1770077869 | Angela Vonlintel | Occupational Therapist | 12975 Sheridan Blvd, Broomfield, CO 80020-1477 | 2018-06-21 |
| 1578057436 | Halle Ricci | Occupational Therapist | 12975 Sheridan Blvd, Broomfield, CO 80020-1477 | 2018-06-14 |
| 1699289934 | Kristen Calovini | Physical Therapist | 12975 Sheridan Blvd, Broomfield, CO 80020-1477 | 2017-11-22 |
| 1376072926 | Phyllis Sue Davis | Speech-Language Pathologist | 12975 Sheridan Blvd, Broomfield, CO 80020-1477 | 2017-06-07 |
| 1073041596 | Nadine Marie Bonnet | Physical Therapy Assistant | 12975 Sheridan Blvd, Broomfield, CO 80020-1477 | 2017-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417334806 | Skin Hdc | Skilled Nursing Facility | 413 Summit Blvd, Unit 104, Broomfield, CO 80021-8294 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1053956268 | La Junta Health Service District | Skilled Nursing Facility | 1904 San Juan Ave Rm 111, La Junta, CO 81050-3268 | 2019-11-12 |
| 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 | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC.
| 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.