NPIMap

Organization Active NPI

Intermountain Front Range, Inc.

  • Inpatient Hospice
  • Wheat Ridge, CO
National Provider Identifier
1255360301
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
315D00000X Issued in CO
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Practice address
3210 Lutheran Pkwy
Wheat Ridge, CO 80033-6019
Phone
(303) 425-8000
Fax
(303) 403-7295
NPI assigned
Jul 1, 2006
Organization subpart
Yes
Parent organization
INTEGRITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Ashley Denton
Title
VP Finance
Phone
(303) 425-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X 315D00000X CO Primary

Addresses

Primary practice location

3210 Lutheran Pkwy
Wheat Ridge, CO 80033-6019

Mailing address

3210 Lutheran Pkwy
Wheat Ridge, CO 80033-6019
Phone (303) 425-8000

Other identifiers 1

IdentifierTypeStateIssuer
05800107MedicaidCO

Other names 1

  • Intermountain Health Hospice - Denver Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061023000037 CO Part A Provider - Hospice 6800799537 Practice locations: Wheat Ridge, CO

Hospice certification: CCN 061508

Legal name
INTERMOUNTAIN FRONT RANGE, INC.
Doing business as
INTERMOUNTAIN HEALTH HOSPICE - DENVER
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 12, 1985
Last certification
Dec 11, 2014
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Feb 4, 1988 in CO
Enrollment address
3210 Lutheran Pkwy
Wheat Ridge, CO 80033-6019

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Intermountain Health Hospice - DenverCCN 061508
Ownership
Other
Certified
Jul 12, 1985
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

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
Rebecca G Resnik Individual W-2 Managing EmployeeHospice Medical Director Feb 1, 2024
David R Kinnard Individual Corporate DirectorBoard Member Jan 24, 2017
Gillian McKnight-Tutein Individual Corporate DirectorBoard Member Jan 1, 2020
Steven Brien Brown Individual Corporate DirectorBoard Member Jan 1, 2024
James Capps Individual Corporate DirectorBoard Member Jan 1, 2024
Christine Forkner Individual Corporate DirectorBoard Member Jan 1, 2018
Stephen K Frankel Individual Corporate DirectorBoard Member May 1, 2021
Amanda Shon Individual Corporate DirectorSenior Nurse Manager Jan 1, 2025
Faye Hummel Individual Corporate DirectorBoard Member Oct 1, 2015
Holly Clouner Individual Corporate DirectorHome Hospice Charge RN Jan 1, 2025
Ashley Denton Individual Corporate OfficerVP Finance Sep 8, 2021
W-2 Managing Employee Sep 8, 2021
Operational/Managerial Control Sep 8, 2021
Integrity Health Organization, Broomfield, CO Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2024 100%
Intermountain Health Care, Inc Organization, Salt Lake City, UT Corporation, Non-profit, Chain home office Operational/Managerial Control Apr 1, 2022
Katherine Boelter Individual Corporate DirectorBoard Member Jan 1, 2020
Mark Provan Individual Corporate OfficerVP-Homecare Hospice & Palliative Apr 16, 2024
W-2 Managing EmployeeVP-Homecare Hospice & Palliative Apr 16, 2024
Operational/Managerial ControlVP-Homecare Hospice & Palliative Apr 16, 2024
Jennifer Carroll Individual W-2 Managing EmployeeClinical Manager Inpatient Hospice Apr 14, 2024
Melissa Whitmer Individual Corporate Director Jan 1, 2024
Kelly Dunkin Individual Corporate DirectorBoard Member Jan 1, 2020
Lacey Kirby Individual W-2 Managing EmployeeAssistant VP Hospice Apr 14, 2024

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Intermountain Health Good Samaritan HospitalLafayette, CO, CCN 060116 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

Affiliated clinicians 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1255360301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 LUTHERAN PKWY",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336019",
            "telephone_number": "303-425-8000",
            "fax_number": "303-403-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 LUTHERAN PKWY",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336019",
            "telephone_number": "303-425-8000",
            "fax_number": "303-403-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN FRONT RANGE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRITY HEALTH",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "303-425-2410"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "CO",
            "license": "315D00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05800107",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Health Hospice - Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.