Active NPI
Allison Care Center LLC
- Skilled Nursing Facility
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ALLISON CARE CENTER LLC
- Doing business as
- Allison Care Center
- Practice address
- 1660 Allison St
Lakewood, CO 80214-6023 - Phone
- (303) 232-7177
- Fax
- (303) 232-0122
- NPI assigned
- Apr 9, 2024
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1660 Allison St
Lakewood, CO 80214-6023
Mailing address
1660 Allison St
Lakewood, CO 80214-6023
Phone (303) 232-7177
Other names 1
- Allison Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250428004137 | TX | Part A Provider - Skilled Nursing Facility | 7517483035 | Practice locations: Lakewood, CO |
Skilled nursing facility certification: CCN 065297
- Legal name
- ALLISON CARE CENTER LLC
- Doing business as
- ALLISON CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1991
- Last certification
- Mar 13, 2025
- Beds
- 85
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Vivage Beecan Senior
- Most recent change of ownership
- Jul 1, 2024
- Organization structure
- LLC
- Enrollment address
- 1660 Allison St
Lakewood, CO 80214-6023 - Nursing home name
- ALLISON CARE CENTER
- Affiliated entity
- LONG PEAK OPERATING COMPANY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Allison Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 1, 1991
- Medicare certification status
- Active
- Certified beds
- 85
- Chain
- Long Peak Operating Company
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider Directory- Tax ID family
- Allison Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Lakewood, CO
- NPI 1508689100
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Allison SNF Holding LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2024 | 99.99% |
| Savanah Stark | Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Aug 6, 2020 | ||
| Karla Valle | Corporate Officer | Jul 1, 2024 | 100% |
| Adp of the SNF | Jul 1, 2024 | ||
| Mary E Koretke | Corporate Officer | Jul 1, 2024 | 100% |
| Adp of the SNF | Jul 1, 2024 | ||
| Jeannae Dergance | Adp of the SNF | Jul 1, 2024 | |
| Jay H Moskowitz | Corporate Officer | Jul 1, 2024 | 100% |
| Operational/Managerial Control | Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Long Peak Opco LLC | Direct Ownership Interest | Jul 1, 2024 | 0.01% |
| Cynthia Haskell | Corporate Officer | Jul 1, 2024 | 100% |
| Adp of the SNF | Jul 1, 2024 | ||
| Chaim M Raskin | Corporate Officer | Jul 1, 2024 | 100% |
| Adp of the SNF | Jul 1, 2024 | ||
| Beecan Health Co LLC | Adp of the SNF | Jul 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Aurora, CO
- NPI 1841237070
Adp of the SNF
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Littleton, CO
- NPI 1447322003
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1275386252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 ALLISON ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802146023",
"telephone_number": "303-232-7177",
"fax_number": "303-232-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 ALLISON ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802146023",
"telephone_number": "303-232-7177",
"fax_number": "303-232-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLISON CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-09",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"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": [
{
"organization_name": "Allison Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.