NPIMap

Organization Active NPI

Life Care Associates IV Limited Partnership

Doing business as Villa Manor Care Center

  • Skilled Nursing Facility
  • Lakewood, CO
National Provider Identifier
1104917327
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0599 Issued in CO
Legal business name
LIFE CARE ASSOCIATES IV LIMITED PARTNERSHIP
Doing business as
Villa Manor Care Center
Practice address
7950 W Mississippi Ave
Lakewood, CO 80226-4326
Phone
(303) 986-4511
Fax
(303) 986-0828
NPI assigned
Sep 27, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0599 CO Primary

Addresses

Primary practice location

7950 W Mississippi Ave
Lakewood, CO 80226-4326

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 1

IdentifierTypeStateIssuer
05655709MedicaidCO

Other names 1

  • Villa Manor Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826000080 CO Part A Provider - Skilled Nursing Facility 4789658568 Practice locations: Lakewood, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104917327. Details of each certification follow.

Skilled nursing facility certification: CCN 065092

Legal name
LIFE CARE ASSOCIATES IV LIMITED PARTNERSHIP
Doing business as
VILLA MANOR CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 4, 1971
Last certification
Dec 14, 2023
Beds
110
Ownership / control type
Corporation
Multi-facility organization
Life Care Center of America
Organization structure
PartnershipProprietary
Enrollment address
7950 W Mississippi Ave
Lakewood, CO 80226-4326
Nursing home name
VILLA MANOR CARE CENTER
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Villa Manor Care CenterCCN 065092 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 4, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11078.9 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain

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
06D0688553Villa Manor Care Center7950 W Mississippi Ave, Lakewood, CO 80226Certificate of waiverAug 31, 2026

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
Forrest L Preston Individual 5% Or Greater Direct Ownership InterestPartner Jul 6, 1983 99%
Limited Partnership InterestPartner Jul 6, 1983 99%
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit General Partnership Interest Jul 6, 1983 1%
Joan E Thurmond Individual Corporate OfficerAsst Secretary of Sole Gen. Partner Sep 21, 2000
Cindy S Cross Individual Corporate OfficerVP of Sole General Partner Feb 3, 1994
Jessica Strong Individual W-2 Managing EmployeeAdministrator Nov 29, 2021
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit Operational/Managerial Control Sep 8, 1983 100%

Owners & managing parties with NPI records 25

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

View all 25

Facilities with the same owner 193

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

View all 193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1104917327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 W MISSISSIPPI AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264326",
            "telephone_number": "303-986-4511",
            "fax_number": "303-986-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE ASSOCIATES IV LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05655709",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Villa Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.