NPIMap

Organization Active NPI

QL-Rocky Mountain, LLC

  • Skilled Nursing Facility
  • Denver, CO
National Provider Identifier
1013915537
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0207 Issued in CO
Legal business name
QL-ROCKY MOUNTAIN, LLC
Practice address
2201 Downing St
Denver, CO 80205-5234
Phone
(303) 861-4825
Fax
(303) 832-4190
NPI assigned
Jul 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Mary Koretke
Title
Director of Reimbursement
Phone
(720) 974-6278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0207 CO Primary

Addresses

Primary practice location

2201 Downing St
Denver, CO 80205-5234

Mailing address

2201 Downing St
Denver, CO 80205-5234
Phone (303) 861-4825

Other identifiers 2

IdentifierTypeStateIssuer
73422070MedicaidCO
69757861MedicaidCO

Other names 1

  • DENVER NORTH CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505000160 TX Part A Provider - Skilled Nursing Facility 3870581150 Practice locations: Denver, CO

Skilled nursing facility certification: CCN 065323

Legal name
QL ROCKY MOUNTAIN LLC
Doing business as
DENVER NORTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 15, 1994
Last certification
Jan 9, 2024
Beds
82
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Vivage-Beecan
Organization structure
LLCProprietary
Enrollment address
2201 Downing Street
Denver, CO 80205-5234

Care Compare: Nursing home

Medicare Care Compare
Listed as
Denver North Care CenterCCN 065323
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 15, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8277.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Denver North Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
John D Brammeier Individual Operational/Managerial ControlTreasurer QP Healthcare Services Dec 31, 2011 18%
Tami Kendall Individual W-2 Managing EmployeeNha Jan 1, 2013 100%
Mary E Koretke Individual W-2 Managing EmployeeDirector of Reimbursement Oct 1, 2013
Jay H Moskowitz Individual 5% Or Greater Direct Ownership Interest Mar 27, 2004 100%
Operational/Managerial ControlPresident of QP Health Services, Apr 26, 2004 82%
Quality Life Management, LLC Organization, Lakewood, CO 5% Or Greater Direct Ownership Interest Mar 29, 2004 100%
QP Health Care Services LLC Organization, Lakewood, CO LLC, Management services company, For-profit Operational/Managerial Control Dec 31, 2011 100%

Facilities with the same owner 13

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

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1013915537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055234",
            "telephone_number": "303-861-4825",
            "fax_number": "303-832-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055234",
            "telephone_number": "303-861-4825",
            "fax_number": "303-832-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QL-ROCKY MOUNTAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73422070",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69757861",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENVER NORTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.