Clear Creek Centers, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

021154 Issued in CO

Legal business name

CLEAR CREEK CENTERS, INC

Doing business as

Clear Creek Care Center

Practice address

7481 Knox PL
Westminster, CO 80030-4818

Phone

(303) 427-7101

Fax

(303) 427-8384

NPI assigned

Feb 11, 2016

Last updated

Feb 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Koretke

Title

Director of Reimbursement

Phone

(720) 974-6278

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clear Creek Care Center Doing business as

Tax ID family

Clear Creek Care Center2 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.

• Clear Creek Centers, Inc.

  dba Clear Creek Care Center

  • Skilled Nursing Facility
  • Westminster, CO
  • NPI 1538160445
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1194184614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7481 KNOX PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800304818",
            "telephone_number": "303-427-7101",
            "fax_number": "303-427-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 KNOX PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800304818",
            "telephone_number": "303-427-7101",
            "fax_number": "303-427-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CREEK CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "021154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4139754",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Creek Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessee Clauson, BCBA, MS
• Rachel F Clayton, LPC
• Clean and Clear Minded CCM Counseling LLC PC
• Clear Creek Care Center LLC (Clear Creek Care Center)
• Clear Creek Care Center LLC (Clear Creek Care Center)
• Clear Creek Centers, Inc. (Clear Creek Care Center)
• Bonnie Cleary
• Lauren Clements
• Nicole Lynn Clements, RN
• Michael B Clendenin, MD

• Skilled Nursing Facility in Westminster, CO
• Providers in Westminster, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.