NPIMap

Organization Active NPI

Center at Centerplace, LLC

  • Skilled Nursing Facility
  • Greeley, CO
National Provider Identifier
1043701337
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CENTER AT CENTERPLACE, LLC
Practice address
4356 24TH Street Rd
Greeley, CO 80634-3330
Phone
(719) 685-8951
Fax
(719) 685-8958
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Monte Murdock
Title
Manager
Phone
(719) 522-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4356 24TH Street Rd
Greeley, CO 80634-3330

Mailing address

3490 Centennial Blvd
Colorado Springs, CO 80907-4087
Phone (719) 685-8951

Other names 1

  • The Center at Centerplace Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190409002830 CO Part A Provider - Skilled Nursing Facility 1557602190 Practice locations: Greeley, CO

Skilled nursing facility certification: CCN 065431

Legal name
CENTER AT CENTERPLACE, LLC
Doing business as
THE CENTER AT CENTERPLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Oct 17, 2019
Last certification
Apr 25, 2024
Beds
54
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Mar 2, 2017 in CO
Enrollment address
4356 24TH Street Rd
Greeley, CO 80634-3330
Nursing home name
CENTER AT CENTERPLACE, LLC, THE
Affiliated entity
VERITAS MANAGEMENT GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Center at Centerplace, LLC, theCCN 065431
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Oct 17, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5440.7 residents per day on average
Chain
Veritas Management Group13 facilities in the chain
Penalties (3 years)
2Fines totaling $31,360

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
06D2163033Center at Centerplace, LLC4356 24TH Street Road, Greeley, CO 80634Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

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
Veritas Management Group LLC Organization, Colorado Springs, CO LLC Operational/Managerial Control Mar 2, 2017 100%
Center at Centerplace, LLC Organization, Greeley, CO LLC 5% Or Greater Direct Ownership Interest Mar 2, 2017 100%
Julie L Kelly Individual W-2 Managing Employee Mar 15, 2019
Monte S. Murdock Individual Operational/Managerial ControlMangagerial Mar 15, 2019 50%
Bartolome Esmas Individual Operational/Managerial ControlOperations, Managerial Mar 15, 2019 50%
Scott K Dhupar Individual Corporate Officer Mar 15, 2019 50%
Other Mar 15, 2019 3.57%

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 11

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1043701337",
    "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": "719-685-8951",
            "fax_number": "719-685-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4356 24TH STREET RD",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343330",
            "telephone_number": "719-685-8951",
            "fax_number": "719-685-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER AT CENTERPLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "MONTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-522-2000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center at Centerplace",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Center at Centerplace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.