NPIMap

Organization Active NPI

Meadowbrook Blvd. Operations, LLC

Doing business as Paonia Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Paonia, CO
National Provider Identifier
1053768192
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEADOWBROOK BLVD. OPERATIONS, LLC
Doing business as
Paonia Care & Rehabilitation Center
Paonia Care and Rehabilitation Center
Practice address
1625 Meadowbrook Blvd
Paonia, CO 81428-9325
Phone
(619) 876-9252
NPI assigned
May 18, 2016
Last updated
Feb 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

Name
Rachel Silver
Title
Consultant
Phone
(949) 449-2500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU
Skilled Nursing Facility 314000000X NU Primary
Respite Care 385H00000X NU

Addresses

Primary practice location

1625 Meadowbrook Blvd
Paonia, CO 81428-9325

Mailing address

26522 La Alameda Ste 300
Mission Viejo, CA 92691-8302
Phone (619) 876-9252

Other identifiers 1

IdentifierTypeStateIssuer
9000141588MedicaidCO

Other names 2

  • Paonia Care & Rehabilitation Center Doing business as
  • Paonia Care and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170731002952 CO Part A Provider - Skilled Nursing Facility 9739450339 Practice locations: Paonia, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053768192. Details of each certification follow.

Skilled nursing facility certification: CCN 065251

Legal name
MEADOWBROOK BLVD. OPERATIONS, LLC
Doing business as
PAONIA CARE & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1989
Last certification
Mar 1, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Madison Creek Partners
Organization structure
LLCProprietary
Incorporated
Apr 17, 2016 in CO
Enrollment address
1625 Meadowbrook Blvd
Paonia, CO 81428-9325
Nursing home name
PAONIA CARE AND REHABILITATION CENTER
Affiliated entity
MADISON CREEK PARTNERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Paonia Care and Rehabilitation CenterCCN 065251 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6051.5 residents per day on average
Chain
Madison Creek Partners13 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $32,619

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Meadowbrook Blvd Operations 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.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Organization, Paonia, CO LLC Adp of the SNF Jul 1, 2016
Covey C Christensen Individual 5% Or Greater Indirect Ownership InterestCeo Jul 1, 2016 100%
Corporate OfficerCeo Jul 1, 2016
Operational/Managerial Control Jul 1, 2016
Adp of the SNF Jul 1, 2016
Madison Creek Partners LLC Organization, Irvine, CA LLC, Management services company, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Operational/Managerial Control Jul 1, 2016
Adp of the SNF Nov 14, 2025
Amber M Hopkins Individual Operational/Managerial Control Dec 1, 2021
Adp of the SNF Dec 1, 2021
Michelle Greer Individual Operational/Managerial Control Jan 14, 2025
Adp of the SNF Jan 14, 2025
Organization, Paonia, CO LLC, Holding company Adp of the SNF Jul 1, 2016
Timothy C Meilner Individual Operational/Managerial Control Oct 1, 1998
Adp of the SNF Oct 1, 1998
Michael Joseph Clegg Individual Operational/Managerial Control Jun 26, 2023
Adp of the SNF Jun 26, 2023

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

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": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1053768192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26522 LA ALAMEDA STE 300",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918302",
            "telephone_number": "619-876-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEADOWBROOK BLVD",
            "city": "PAONIA",
            "state": "CO",
            "postal_code": "814289325",
            "telephone_number": "619-876-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK BLVD. OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "949-449-2500"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000141588",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paonia Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paonia Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paonia Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paonia, CO

Sources for this page

Verify at the official NPI Registry.