NPIMap

Organization Active NPI

Kiowa Hills Rehabilitation and Nursing, LLC

  • Skilled Nursing Facility
  • Colorado Springs, CO
National Provider Identifier
1013752898
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KIOWA HILLS REHABILITATION AND NURSING, LLC
Practice address
924 W Kiowa St
Colorado Springs, CO 80905-1424
Phone
(719) 636-5221
NPI assigned
Jun 25, 2024
Last updated
Jan 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wendy Anderson
Title
Corporate Business Office Director
Phone
(385) 498-0194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

924 W Kiowa St
Colorado Springs, CO 80905-1424

Mailing address

947 S 500 E Ste 105
American Fork, UT 84003-3392
Phone (385) 492-0194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251124003759 CO Part A Provider - Skilled Nursing Facility 0547782500 Practice locations: Colorado Springs, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013752898. Details of each certification follow.

Skilled nursing facility certification: CCN 065175

Legal name
KIOWA HILLS REHABILITATION AND NURSING LLC
Doing business as
OXFORD BANK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1981
Last certification
Jan 16, 2025
Beds
83
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Sep 1, 2024
Organization structure
LLCProprietary
Enrollment address
924 W Kiowa St
Colorado Springs, CO 80905-1424
Nursing home name
KIOWA HILLS REHABILITATION AND NURSING, LLC
Affiliated entity
THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kiowa Hills Rehabilitation and Nursing, LLCCCN 065175 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8378.1 residents per day on average
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers19 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
06D2338950Kiowa Hills Rehabilitation and Nursing LLC924 W Kiowa Street, Colorado Springs, CO 80905Certificate of waiverFeb 19, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, Woods Cross, UT LLC Adp of the SNF Sep 1, 2024
Holly Swain Individual 5% Or Greater Indirect Ownership Interest19.2 Sep 1, 2024
Jared E Swain Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 20.2%
David Mahrt Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 0.1%
Charly Bello Family Limited Partnership Organization, American Fork, UT 5% Or Greater Direct Ownership Interest Sep 1, 2024 40%
Devan Bennion Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Nov 24, 2025
Pickd LLC Organization, Farmington, UT LLC 5% Or Greater Direct Ownership Interest Sep 1, 2024 10%
Maze Family Limited Partnership Organization, Provo, UT 5% Or Greater Direct Ownership Interest Sep 1, 2024 50%
Oxford Finance LLC Organization, Alexandria, VA LLC Adp of the SNF Sep 1, 2024
Vikas Thouti Reddy Individual Adp of the SNF Nov 24, 2025
Organization, New York, NY LLC Adp of the SNF Sep 1, 2024
Walter E Myers Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024
Operational/Managerial Control Sep 1, 2024
Adp of the SNF Sep 1, 2024
Cottonwood Healthcare LLC Organization, American Fork, UT LLC Operational/Managerial Control Jan 23, 2025
Organization, Saint Charles, MO Corporation Adp of the SNF Sep 1, 2024
Katie Myers Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 23.5%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 23

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 23

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1013752898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S 500 E STE 105",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033392",
            "telephone_number": "385-492-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 W KIOWA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051424",
            "telephone_number": "719-636-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIOWA HILLS REHABILITATION AND NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CORPORATE BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "385-498-0194"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.