Center at Centennial, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CENTER AT CENTENNIAL, LLC

Practice address

3490 Centennial Blvd
Colorado Springs, CO 80907-4087

Phone

(719) 685-8888

Fax

(719) 685-8958

NPI assigned

Jul 4, 2006

Last updated

Nov 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Senkoff, M.D.

Title

Medical Director

Phone

(719) 685-8888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033149885. Details of each certification follow.

• CCN 065390 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 065390

Legal name

CENTER AT CENTENNIAL, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Sep 26, 2007

Last certification

Oct 23, 2024

Beds

80

Ownership / control type

Corporation

Multi-facility organization

Veritas Management

Organization structure

LLCProprietary

Enrollment address

3490 Centennial Blvd
Colorado Springs, CO 80907-4087

Nursing home name

CENTER AT CENTENNIAL, THE

Affiliated entity

VERITAS MANAGEMENT GROUP

Other NPIs with the same Medicare PAC ID 1

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

• Center at Centennial, LLC

  dba Center at Cordera

  • Skilled Nursing Facility
  • Colorado Springs, CO
  • NPI 1659790202

  1850492133

  Same PAC ID

Listed as

Center at Centennial, theCCN 065390 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare

Ownership

For profit - Corporation

Certified

Sep 26, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8073.5 residents per day on average

Chain

Veritas Management Group13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Center at Centennial LLC2 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.

• Center at Centennial, LLC

  dba Center at Cordera

  • Skilled Nursing Facility
  • Colorado Springs, CO
  • NPI 1659790202
  NPD tax ID

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

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

• Russell M Lee, MD

  • Pulmonary Disease Physician
  • Colorado Springs, CO
  • NPI 1629131727

  Corporate Officer

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pankaj Nashikkar, MD

  • Internal Medicine Physician
  • Colorado Springs, CO
  • NPI 1457413338

  Nursing home

  Care Compare affiliation
• Samuel A Piedad Jr., M.D.

  • Internal Medicine Physician
  • Colorado Springs, CO
  • NPI 1295732493

  Nursing home

  Care Compare affiliation
• Sridhar V Reddy, MD

  • Internal Medicine Physician
  • Colorado Springs, CO
  • NPI 1033268040

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1033149885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 CENTENNIAL BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074087",
            "telephone_number": "719-685-8888",
            "fax_number": "719-685-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 CENTENNIAL BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074087",
            "telephone_number": "719-685-8888",
            "fax_number": "719-685-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER AT CENTENNIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "SENKOFF",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "719-685-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centennial Medical Group Co LLC
• Centennial State Lab, LLC
• Bianca Centeno, RBT
• Jonathan Centeno
• Maranda L Centeno, MSOT
• Center at Centennial, LLC (Center at Cordera)
• Center for Advanced Foot and Ankle Surgery PLLC
• Center for Counseling Inc
• Center for Mind and Body Therapy
• Center for the Advancement of Heathcare Education and Delivery

• Skilled Nursing Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.