Devonshire Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DEVONSHIRE CARE CENTER, LLC

Practice address

1330 Sidney Ave
Sterling, CO 80751-2241

Phone

(970) 522-4888

NPI assigned

Mar 5, 2024

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, Cost Reporting

Phone

(303) 378-8320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Skilled nursing facility certification: CCN 065150

Legal name

DEVONSHIRE CARE CENTER, LLC

Doing business as

DEVONSHIRE CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 16, 1979

Last certification

Mar 7, 2024

Beds

84

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Vivage-Beecan

Organization structure

LLCProprietary

Enrollment address

1330 Sidney Ave
Sterling, CO 80751-2241

Nursing home name

DEVONSHIRE CARE CENTER

Affiliated entity

LONG PEAK OPERATING COMPANY

Listed as

Devonshire Care CenterCCN 065150

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 16, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8466.8 residents per day on average

Chain

Long Peak Operating Company8 facilities in the chain

Penalties (3 years)

1Fines totaling $2,350

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Devonshire 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.

• Devonshire Care Center, LLC

  • Skilled Nursing Facility
  • Sterling, CO
  • NPI 1922989342
  NPD tax ID

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

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

• Jeannae Marie Dergance, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Aurora, CO
  • NPI 1841237070

  Adp of the SNF

  CMS ownership

Facilities with the same owner 5

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

• Arbor View Care Center LLC

  • Skilled Nursing Facility
  • Arvada, CO
  • NPI 1518710599

  Beecan Health Co LLC

  CMS ownership
• Canyon View Care Center LLC

  • Skilled Nursing Facility
  • Palisade, CO
  • NPI 1528890852

  Beecan Health Co LLC

  CMS ownership
• Crestmoor Care Center LLC

  • Skilled Nursing Facility
  • Denver, CO
  • NPI 1588496814

  Beecan Health Co LLC

  CMS ownership
• Thornton Care Center LLC

  • Skilled Nursing Facility
  • Thornton, CO
  • NPI 1326870650

  Beecan Health Co LLC

  CMS ownership
• Wellsprings Care Center LLC

  • Skilled Nursing Facility
  • Englewood, CO
  • NPI 1649002973

  Beecan Health Co LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Hansen, DO

  • Internal Medicine Physician
  • Lone Tree, CO
  • NPI 1538690201
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Charles Anthony Gerk, M.D.

  • Family Medicine Physician
  • Sterling, CO
  • NPI 1194992768

  Nursing home

  Care Compare affiliation
• Adam Hansen, DO

  • Internal Medicine Physician
  • Lone Tree, CO
  • NPI 1538690201

  Nursing home

  Care Compare affiliation
• Thomas Howard Soper, D.O.

  • Internal Medicine Physician
  • Sterling, CO
  • NPI 1689643900

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1194582189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD STE 211",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461923",
            "telephone_number": "720-974-6278",
            "fax_number": "303-987-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SIDNEY AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807512241",
            "telephone_number": "970-522-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVONSHIRE CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR, COST REPORTING",
        "authorized_official_telephone_number": "303-378-8320"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Ann Davis, F.N.P.
• Sheryl Deem
• Bonita Deering
• Andrew Denecke
• Calli Deruby
• Devonshire Care Center, LLC
• Cheryl Dillon, LPN
• Dr. Linda Lipstein, O.D., LLC
• John H Drury, M.D.
• Wendy Sue Dudley

• Skilled Nursing Facility in Sterling, CO
• Providers in Sterling, 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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.