Colonial Rehabilitation and Nursing, LLC
Organization Active NPI Skilled Nursing Facility · Colorado Springs, CO
NPI 1235973181 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1235973181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 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
- Organization subpart
- No
Authorized official
- Name
- Wendy Anderson
- Title
- Corporate Business Office Director
- Phone
- (385) 498-0194
Owners & managing parties with NPI records 1
-
Vikas Thouti Reddy, M.D.
Facilities with the same owner 23
Affiliated clinicians 3
-
Vikas Thouti Reddy, M.D.
-
Scott F Sickbert, M.D., L.L.C.
Medicare Care Compare: Nursing home
- Listed as
- Colonial Rehabilitation and Nursing, LLC
- 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
- Active
- Certified beds
- 80 · 75.9 residents per day on average
- Chain
- The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2 · fines totaling $24,453
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
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
- LLC · Proprietary
- 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
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Taylor Swain |
Indirect Ownership Interest | Jun 12, 2024 | 0.4% |
| Holly Swain |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 19.2% |
| Indirect Ownership Interest | Sep 1, 2024 | 19.2% | |
| Jared E Swain |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 20.2% |
| Indirect Ownership Interest | Sep 1, 2024 | 20.2% | |
| David Mahrt |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 10% |
| Indirect Ownership Interest | Sep 1, 2024 | 10% | |
| |
Adp of the SNF | Apr 17, 2025 | |
| Charly Bello Family Limited Partnership |
5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 40% |
| Direct Ownership Interest | Sep 1, 2024 | 40% | |
| Pickd LLC |
5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 10% |
| Direct Ownership Interest | Sep 1, 2024 | 10% | |
| Professional Business Advisors LLC |
Adp of the SNF | Apr 17, 2025 | |
| Hannah Swain |
Indirect Ownership Interest | Jun 12, 2024 | 0.4% |
| Ryan Turley |
Operational/Managerial Control | Sep 1, 2024 | |
| Adp of the SNF | Apr 17, 2025 | ||
| Maze Family Limited Partnership |
5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 50% |
| Direct Ownership Interest | Sep 1, 2024 | 50% | |
| |
Adp of the SNF | Apr 17, 2025 | |
| Vikas Thouti Reddy |
Adp of the SNF | Jan 23, 2025 | |
| Walter E Myers |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 24.5% |
| Indirect Ownership Interest | Sep 1, 2024 | 24.5% | |
| Cottonwood Healthcare LLC |
Operational/Managerial Control | Sep 1, 2024 | |
| |
Adp of the SNF | Sep 1, 2024 | |
| Adelaide Myers |
Indirect Ownership Interest | Jun 12, 2014 | 0.5% |
| Mallory Myers |
Indirect Ownership Interest | Jun 12, 2024 | 0.5% |
| Katie Myers |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 23.5% |
| Indirect Ownership Interest | Sep 1, 2024 | 23.5% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250520003815 | CO | Part a Provider - Skilled Nursing Facility | 2062930266 | Practice locations: Colorado Springs, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
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
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.