Wray Community Long Term Care Inc
Organization Active NPI Skilled Nursing Facility · Wray, CO
NPI 1104268465 · NPPES record last updated Mar 12, 2015
Key facts
- NPI
- 1104268465
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- WRAY COMMUNITY LONG TERM CARE INC
- Practice address
- 360 Canyon Ridge Dr
Wray, CO 80758-8947 - Phone
- (970) 332-4811
- Fax
- (970) 332-4800
- NPI assigned
- Jul 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jennie Sullivan
- Title
- Cfo
- Phone
- (970) 332-2203
Owners & managing parties with NPI records 1
-
Thomas Kriley, M.D.
Corporate family (same tax ID) 1
Affiliated clinicians 1
-
Thomas Kriley, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Hillcrest Care Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Certified
- Jan 1, 1994
- Medicare certification status
- Active
- Certified beds
- 45 · 41.1 residents per day on average
- Penalties (3 years)
- 2 · fines totaling $9,174
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Skilled nursing facility certification: CCN 065316
- Legal name
- WRAY COMMUNITY LONG TERM CARE, INC.
- Doing business as
- HILLCREST CARE CENTER & THE TOWERS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 1, 1994
- Last certification
- Oct 3, 2024
- Beds
- 45
- Ownership / control type
- Hospital District
- Most recent change of ownership
- Jul 1, 2014
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 16, 2014 in CO
- Enrollment address
- 360 Canyon Ridge Drive
Hillcrest Care Center
Wray, CO 80758-8947 - Nursing home name
- HILLCREST CARE CENTER
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| James Hendrix |
Corporate Director | Jul 30, 2019 | |
| Managing Control - Governing Body | Jul 30, 2019 | ||
| Trustee of the SNF | Jul 30, 2019 | ||
| Craig Soehner |
Corporate Director | May 8, 2018 | |
| Managing Control - Governing Body | May 8, 2018 | ||
| Trustee of the SNF | May 8, 2018 | ||
| Jeffrey Wingfield |
Corporate Director | May 5, 2020 | |
| Managing Control - Governing Body | May 5, 2020 | ||
| Trustee of the SNF | May 5, 2020 | ||
| Kimberly P. Bryant |
Operational/Managerial Control | Sep 3, 2024 | |
| Managing Control - Governing Body |
Sep 3, 2024 | ||
| Adp of the SNF | Feb 6, 2025 | ||
| Thomas C Kriley |
Corporate Director |
Feb 6, 2025 | |
| Adp of the SNF | Feb 6, 2025 | ||
| Wray Community Long Term Care, Inc. |
5% Or Greater Direct Ownership Interest | Jul 1, 2014 | 100% |
| 5% Or Greater Indirect Ownership Interest | Jul 1, 2014 | 100% | |
| 5% Or Greater Mortgage Interest | Jul 1, 2014 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140919002159 | CO | Part a Provider - Skilled Nursing Facility | 9537388798 | Practice locations: Wray, CO |
National Provider Directory
- Tax ID family
- Wray Community Long Term Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
360 Canyon Ridge Dr
Wray, CO 80758-8947
Mailing address
1017 W 7TH St
Wray, CO 80758-1420
Phone (970) 332-2203
Other names
- Hillcrest Care Center and The Towers
Other providers in Wray, CO
- Wray Community District Hospital
- Wray Community District Hospital
- Wray Community District Hospital
- Wray Community District Hospital
- Wray Community District Hospital
- Wray Community Long Term Care Inc
- Wray Family Dental, PLLC
All providers in Wray, CO · Skilled Nursing Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.