NPIMap

Organization Active NPI

Gunnison Valley Health Senior Care Center

  • Skilled Nursing Facility
  • Gunnison, CO
National Provider Identifier
1013952472
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
020999 Issued in CO
Legal business name
GUNNISON VALLEY HEALTH SENIOR CARE CENTER
Practice address
1500 W Tomichi Ave
Gunnison, CO 81230-3711
Phone
(970) 641-0704
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Mr. J Wade Baker, NHA
Title
Administrator
Phone
(970) 641-0704

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23R871 CO
Skilled Nursing Facility 314000000X 020999 CO Primary

Addresses

Primary practice location

1500 W Tomichi Ave
Gunnison, CO 81230-3711

Mailing address

1498 W Tomichi Ave
Gunnison, CO 81230-3703
Phone (970) 641-0704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100330000936 CO Part A Provider - Skilled Nursing Facility 5991831877 Practice locations: Gunnison, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013952472. Details of each certification follow.

Skilled nursing facility certification: CCN 065144

Legal name
GUNNISON VALLEY HEALTH SENIOR CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 9, 1977
Last certification
Apr 24, 2024
Beds
50
Ownership / control type
City/County
Organization structure
GovernmentNon-profit
Enrollment address
1500 W Tomichi Ave
Gunnison, CO 81230-3711
Nursing home name
GUNNISON VALLEY HEALTH SENIOR CARE CENTER

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gunnison Valley Health Senior Care CenterCCN 065144 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - City/county
Certified
Apr 9, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5032.4 residents per day on average
Penalties (3 years)
3Fines totaling $14,866

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Nathan Blad Individual Corporate OfficerCfo Oct 13, 2025
Emily McMahill Individual Corporate DirectorBoard Trustee Feb 1, 2025
Trustee of the SNF Feb 1, 2025
Jason C Amrich Individual Corporate OfficerCeo Dec 6, 2021
Adp of the SNF Jun 11, 2025
Jackie Leach Individual Corporate DirectorDir of Finance Mar 18, 2026
Shandy Kibler Individual Adp of the SNF May 26, 2026
Marla Covey Individual Corporate DirectorBoard Trustee Feb 1, 2014
Trustee of the SNF Feb 1, 2014
Marla Hutchison Crockett Individual Corporate DirectorBoard Trustee Feb 1, 2023
Trustee of the SNF Feb 1, 2023
County of Gunnison Organization, Gunnison, CO 5% Or Greater Direct Ownership Interest Oct 16, 2013
Mark Kaufman Individual Corporate DirectorBoard Trustee Feb 1, 2022
Trustee of the SNF Feb 1, 2022
Bruce Alpern Individual Corporate DirectorBoard Trustee Nov 1, 2012
Trustee of the SNF Oct 1, 2012
Joseph Baker Individual Corporate OfficerVP of Operations Oct 16, 2013
Operational/Managerial Control Oct 16, 2013
Donald Haver Individual Corporate DirectorBoard Vice-Chairman Feb 1, 2014
Trustee of the SNF Feb 1, 2014
Kenneth R Anderson Individual Adp of the SNF May 26, 2026

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Home Health and HospiceGunnison, CO, CCN 067191 Home health agency 5% Or Greater Direct Ownership Interest Dec 29, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1013952472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 W TOMICHI AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812303703",
            "telephone_number": "970-641-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W TOMICHI AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812303711",
            "telephone_number": "970-641-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON VALLEY HEALTH SENIOR CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-641-0704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23R871",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "020999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.