NPIMap

Organization Active NPI

Stellar Bear Creek LLC

  • Skilled Nursing Facility
  • Colorado Springs, CO
National Provider Identifier
1124909221
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STELLAR BEAR CREEK LLC
Practice address
1685 S 21St St
Colorado Springs, CO 80904-5123
Phone
(719) 329-1774
Fax
(719) 329-1695
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Adam Benton
Title
Partner
Phone
(801) 495-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1685 S 21St St
Colorado Springs, CO 80904-5123

Mailing address

1685 S 21St St
Colorado Springs, CO 80904-5123
Phone (719) 329-1774

Other names 1

  • Bear Creek Senior Living Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251211000636 CO Part A Provider - Skilled Nursing Facility 3870087489 Practice locations: Colorado Springs, CO

Skilled nursing facility certification: CCN 065373

Legal name
STELLAR BEAR CREEK LLC
Doing business as
BEAR CREEK SENIOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Dec 2, 1999
Last certification
May 6, 2024
Beds
45
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
1685 S 21St St
Colorado Springs, CO 80904-5123
Nursing home name
BEAR CREEK SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bear Creek Senior LivingCCN 065373
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Dec 2, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4536.2 residents per day on average
Penalties (3 years)
1Fines totaling $6,614
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Stellar X, LLC Organization, Midvale, UT Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Nov 14, 2025 100%
Operational/Managerial Control Nov 14, 2025
Adp of the SNF Dec 3, 2025
Ray Henderson Individual Operational/Managerial Control Nov 14, 2025
Adp of the SNF Nov 14, 2025
Organization, Wheat Ridge, CO Medical provider/supplier, Consulting firm, For-profit Adp of the SNF Nov 18, 2025
Organization, Baltimore, MD Corporation, Medical provider/supplier, For-profit Adp of the SNF Nov 18, 2025
Forbright Bank Organization, Chevy Chase, MD Created for acquisition, Corporation, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 14, 2025 100%
Operational/Managerial Control Nov 14, 2025
Adp of the SNF Nov 18, 2025
Heather York Individual Operational/Managerial Control Nov 14, 2025
Adp of the SNF Nov 14, 2025
Evrett Benton Individual Operational/Managerial Control Nov 14, 2025
Adp of the SNF Nov 14, 2025
Kari a Schultz Individual Operational/Managerial Control Nov 14, 2025
Adp of the SNF Nov 14, 2025
Christine Swanson Individual Operational/Managerial Control Nov 14, 2025
Adp of the SNF Nov 14, 2025
Adam Benton Individual Operational/Managerial Control Nov 14, 2025
Adp of the SNF Nov 14, 2025
Colorado Springs Management, LLC Organization, Midvale, UT LLC, Management services company, For-profit Operational/Managerial Control Nov 14, 2025
Adp of the SNF Nov 18, 2025

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 8

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

Practitioners & affiliated clinicians

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": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1124909221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 S 21ST ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809045123",
            "telephone_number": "719-329-1774",
            "fax_number": "719-329-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 S 21ST ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809045123",
            "telephone_number": "719-329-1774",
            "fax_number": "719-329-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR BEAR CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-495-7000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Creek Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.