NPIMap

Organization Active NPI

Castle Peak Senior Care LLC

  • Skilled Nursing Facility
  • Eagle, CO
National Provider Identifier
1144698184
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CASTLE PEAK SENIOR CARE LLC
Practice address
195 Freeport
Eagle, CO 81631
Phone
(970) 989-2500
NPI assigned
Sep 8, 2015
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Seelochani Stadtherr
Title
Director of Reimbursement
Phone
(952) 855-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

195 Freeport
Eagle, CO 81631

Mailing address

7171 Ohms LN
Edina, MN 55439-2142
Phone (952) 855-5041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161022000075 CO Part A Provider - Skilled Nursing Facility 2062790272 Practice locations: Eagle, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144698184. Details of each certification follow.

Skilled nursing facility certification: CCN 065420

Legal name
CASTLE PEAK SENIOR CARE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 2016
Last certification
Sep 19, 2024
Beds
44
Ownership / control type
Other Nonprofit
Multi-facility organization
Cassia
Organization structure
LLCNon-profit
Incorporated
Aug 30, 2012 in MN
Enrollment address
195 Freestone Rd
Eagle, CO 81631-5930
Nursing home name
CASTLE PEAK SENIOR LIFE AND REHABILITATION
Affiliated entity
CASSIA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Castle Peak Senior Life and RehabilitationCCN 065420 · All quality measures
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Dec 1, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4440.1 residents per day on average
Chain
Cassia16 facilities in the chain
Penalties (3 years)
2Fines totaling $23,580

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1425 10th Ave S
Ste 100
Minneapolis, MN 55404

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Seelochani NMN Stadtherr Individual Corporate DirectorAssociate VP of Revenue Cycle MGMT Jan 1, 2018
Gerald Salaz Individual Operational/Managerial Control Jun 1, 2022
Natalie Eckert Individual Operational/Managerial Control Jan 16, 2019
Paul Libbon Individual Corporate OfficerCoo Oct 1, 2025 8.33%
Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Shelly Ann Cornish Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jul 29, 2025
Jose L Elizalde Individual Operational/Managerial Control May 15, 2024
Gary Keller Individual Operational/Managerial Control May 18, 2022
Robin Sobieski Individual Operational/Managerial Control Apr 26, 2023
Charles Thomas Parks Individual Corporate DirectorBoard of Directors Jan 1, 2018 8.33%
Angela Apostolik Individual Operational/Managerial Control May 15, 2024
Augustana Care Organization, Edina, MN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Cassia Organization, Edina, MN Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2020 100%
Jaime Michelle Brady Individual Corporate OfficerChief Clinical Officer Oct 1, 2025 8.33%
Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Erik J Ellingson Individual Corporate DirectorBoard of Directors Jan 1, 2018 8.33%
Krissa Kay Mason Individual Corporate OfficerChief Legal and Compliance Officer Oct 1, 2025 8.33%
Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Gerald Thomas Nye Individual Corporate DirectorBoard of Directors Jan 1, 2018 8.33%
Kathryn Lee Youngquist Individual Corporate OfficerCfo Jan 1, 2018 8.33%
Operational/Managerial Control Jan 1, 2018
Adp of the SNF Jan 1, 2018
Cassia Organization, Edina, MN Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2018
Adp of the SNF Mar 5, 2026
Tessa M Beal Individual Operational/Managerial Control Oct 1, 2025
Adp of the SNF Nov 20, 2025
Angela Brown Individual Corporate OfficerChro Jan 1, 2018 8.33%
Adp of the SNF Jan 1, 2018
Matthew Ray Kern Individual Corporate OfficerPresident/Ceo Oct 1, 2025 8.33%

Facilities with the same owner 17

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

View all 17

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": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1144698184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392142",
            "telephone_number": "952-855-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FREEPORT",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "81631",
            "telephone_number": "970-989-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE PEAK SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "STADTHERR",
        "authorized_official_first_name": "SEELOCHANI",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "952-855-5041"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, CO

Sources for this page

Verify at the official NPI Registry.