NPIMap

Organization Active NPI

Colonial Rehabilitation and Nursing, LLC

  • Skilled Nursing Facility
  • Colorado Springs, CO
National Provider Identifier
1235973181
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COLONIAL REHABILITATION AND NURSING, LLC
Practice address
1340 E Fillmore St
Colorado Springs, CO 80907-6433
Phone
(719) 473-1105
NPI assigned
Jun 24, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Wendy Anderson
Title
Corporate Business Office Director
Phone
(385) 498-0194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1340 E Fillmore St
Colorado Springs, CO 80907-6433

Mailing address

947 S 500 E Ste 105
American Fork, UT 84003-3392
Phone (385) 492-0194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250520003815 CO Part A Provider - Skilled Nursing Facility 2062930266 Practice locations: Colorado Springs, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235973181. Details of each certification follow.

Skilled nursing facility certification: CCN 065225

Legal name
COLONIAL REHABILITATION AND NURSING LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1985
Last certification
Aug 31, 2023
Beds
80
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cottonwood Healthcare
Organization structure
LLCProprietary
Enrollment address
1340 E Fillmore St
Colorado Springs, CO 80907-6433
Nursing home name
COLONIAL REHABILITATION AND NURSING, LLC
Affiliated entity
THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Colonial Rehabilitation and Nursing, LLCCCN 065225 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8075.9 residents per day on average
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers19 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $24,453

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Taylor Swain Individual Indirect Ownership Interest Jun 12, 2024 0.4%
Holly Swain Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 19.2%
Indirect Ownership Interest Sep 1, 2024 19.2%
Jared E Swain Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 20.2%
Indirect Ownership Interest Sep 1, 2024 20.2%
David Mahrt Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 10%
Indirect Ownership Interest Sep 1, 2024 10%
Organization, Alexandria, VA LLC Adp of the SNF Apr 17, 2025
Charly Bello Family Limited Partnership Organization, American Fork, UT Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2024 40%
Direct Ownership Interest Sep 1, 2024 40%
Pickd LLC Organization, Farmington, UT LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2024 10%
Direct Ownership Interest Sep 1, 2024 10%
Professional Business Advisors LLC Organization, Woods Cross, UT LLC Adp of the SNF Apr 17, 2025
Hannah Swain Individual Indirect Ownership Interest Jun 12, 2024 0.4%
Ryan Turley Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Apr 17, 2025
Maze Family Limited Partnership Organization, Provo, UT Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2024 50%
Direct Ownership Interest Sep 1, 2024 50%
Organization, Saint Charles, MO Corporation Adp of the SNF Apr 17, 2025
Vikas Thouti Reddy Individual Adp of the SNF Jan 23, 2025
Walter E Myers Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 24.5%
Indirect Ownership Interest Sep 1, 2024 24.5%
Cottonwood Healthcare LLC Organization, American Fork, UT LLC Operational/Managerial Control Sep 1, 2024
Organization, New York, NY LLC Adp of the SNF Sep 1, 2024
Adelaide Myers Individual Indirect Ownership Interest Jun 12, 2014 0.5%
Mallory Myers Individual Indirect Ownership Interest Jun 12, 2024 0.5%
Katie Myers Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 23.5%
Indirect Ownership Interest Sep 1, 2024 23.5%

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 23

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

View all 23

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1235973181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S 500 E STE 105",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033392",
            "telephone_number": "385-492-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076433",
            "telephone_number": "719-473-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL REHABILITATION AND NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CORPORATE BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "385-498-0194"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.