Kiowa Hills Rehabilitation and Nursing, LLC
Organization Active NPI Skilled Nursing Facility · Colorado Springs, CO
NPI 1013752898 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1013752898
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 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
- Organization subpart
- No
Authorized official
- Name
- Wendy Anderson
- Title
- Corporate Business Office Director
- Phone
- (385) 498-0194
Owners & managing parties with NPI records 1
-
Vikas Thouti Reddy, M.D.
Facilities with the same owner 23
Affiliated clinicians 2
-
Scott F Sickbert, M.D., L.L.C.
Medicare Care Compare: Nursing home
- Listed as
- Kiowa Hills Rehabilitation and Nursing, LLC
- 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
- Active
- Certified beds
- 83 · 78.1 residents per day on average
- Chain
- The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2338950 | Kiowa Hills Rehabilitation and Nursing LLC | Certificate of waiver | Feb 19, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
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
- LLC · Proprietary
- 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
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Sep 1, 2024 | |
| Holly Swain |
5% Or Greater Indirect Ownership Interest |
Sep 1, 2024 | |
| Jared E Swain |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 20.2% |
| David Mahrt |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 0.1% |
| Charly Bello Family Limited Partnership |
5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 40% |
| Devan Bennion |
Operational/Managerial Control | Sep 1, 2024 | |
| Adp of the SNF | Nov 24, 2025 | ||
| Pickd LLC |
5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 10% |
| Maze Family Limited Partnership |
5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 50% |
| Oxford Finance LLC |
Adp of the SNF | Sep 1, 2024 | |
| Vikas Thouti Reddy |
Adp of the SNF | Nov 24, 2025 | |
| |
Adp of the SNF | Sep 1, 2024 | |
| Walter E Myers |
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 |
Operational/Managerial Control | Jan 23, 2025 | |
| |
Adp of the SNF | Sep 1, 2024 | |
| Katie Myers |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 23.5% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251124003759 | CO | Part a Provider - Skilled Nursing Facility | 0547782500 | Practice locations: Colorado Springs, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
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
Other providers in Colorado Springs, CO
- James Kintner
- Lori Jo Kinzer
- Samantha K Kiourtzidis
- Kiowa Hills Health and Rehabilitation Center LLC
- Kiowa Hills Health and Rehabilitation Center LLC
- Andrea Michelle Kippel
- Lisa Kirby
- Marissa Kirby
- Lorence Tobias Kircher III
- Jenna Marie Kirchoff
All providers in Colorado Springs, CO · Skilled Nursing Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.