Active NPI
Columbine Commons Health & Rehab LLC
- Skilled Nursing Facility
- Windsor, CO
National Provider Identifier
1295179604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2022
- 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
- Mr. Barry K Fancher
- Title
- Cco/Cfo
- Phone
- (970) 482-0198
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Other
- 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 LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 13, 2014
- Medicare certification status
- Active
- Certified beds
- 60
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| John Robert Wilson | 5% Or Greater Direct Ownership Interest | Sep 25, 2012 | 100% |
| W-2 Managing Employee | Dec 6, 1971 | ||
| Lauren J Fasciano-Sager | Corporate Officer | May 12, 2008 | |
| W-2 Managing Employee | May 12, 2008 | ||
| Palmer John Withrow | W-2 Managing Employee | Sep 1, 2013 | |
| Barry Kent Fancher | Corporate Officer | Jul 1, 1999 | |
| W-2 Managing Employee | Jul 1, 1999 |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Fort Collins, CO
- NPI 1568621613
Nursing home
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
- Colorado Dental Specialist Practice, LLC (Colorado Dental Specialists)
- Colorado in Motion LLC
- Colorado Pediatrics
- Colorado Physical Therapy Specialists PLLC (Colorado In Motion)
- Columbine Commons Assisted Living LLC
- Columbine Commons Health and Rehab LLC
- Columbine Medical Equipment, Inc
- Rick A. Combs, M.A.
- Michelle Lorraine Commenchal, RD, RDN
- Community Birth Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.