Organization Active NPI

Columbine Commons Health & Rehab LLC

  • Skilled Nursing Facility
  • Windsor, CO
National Provider Identifier
1295179604
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COLUMBINE COMMONS HEALTH & REHAB LLC
Practice address
1475 Main St
Windsor, CO 80550-6029
Phone
(970) 449-5540
NPI assigned
Apr 29, 2013
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Mr. Barry K Fancher
Title
Cco/Cfo
Phone
(970) 482-0198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1475 Main St
Windsor, CO 80550-6029

Mailing address

1475 Main Street
Windsor, CO 80550-5990
Phone (970) 449-5540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140326000108 CO Part A Provider - Skilled Nursing Facility 4688813561 Practice locations: Windsor, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295179604. Details of each certification follow.

Skilled nursing facility certification: CCN 065410

Legal name
COLUMBINE COMMONS HEALTH & REHAB LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Feb 13, 2014
Last certification
Apr 17, 2025
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Columbine Health Systems LLC
Most recent change of ownership
Dec 1, 2025
Organization structure
OtherProprietary
Incorporated
Sep 25, 2012 in CO
Enrollment address
1475 Main St
Windsor, CO 80550-5990

Care Compare: Nursing home

Medicare Care Compare
Listed as
Columbine Commons Health and Rehab LLCCCN 065410 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Feb 13, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6057.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
John Robert Wilson Individual 5% Or Greater Direct Ownership Interest Sep 25, 2012 100%
W-2 Managing Employee Dec 6, 1971
Lauren J Fasciano-Sager Individual Corporate OfficerDirector of Accounting May 12, 2008
W-2 Managing Employee May 12, 2008
Palmer John Withrow Individual W-2 Managing EmployeeAdministrator Sep 1, 2013
Barry Kent Fancher Individual Corporate OfficerCfo Jul 1, 1999
W-2 Managing EmployeeCfo Jul 1, 1999

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1295179604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 MAIN STREET",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505990",
            "telephone_number": "970-449-5540",
            "fax_number": "970-482-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 MAIN ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805506029",
            "telephone_number": "970-449-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBINE COMMONS HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-01-28",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "FANCHER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CCO/CFO",
        "authorized_official_telephone_number": "970-482-0198",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.