NPIMap

Organization Active NPI

Thornton Care Center LLC

Doing business as Thornton Care Center

  • Skilled Nursing Facility
  • Thornton, CO
National Provider Identifier
1326870650
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THORNTON CARE CENTER LLC
Doing business as
Thornton Care Center
Practice address
501 Thornton Pkwy
Thornton, CO 80229-2101
Phone
(303) 452-6101
Fax
(303) 452-4330
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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
(720) 974-6278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

501 Thornton Pkwy
Thornton, CO 80229-2101

Mailing address

501 Thornton Pkwy
Thornton, CO 80229-2101
Phone (303) 452-6101

Other names 1

  • Thornton Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250328000293 CO Part A Provider - Skilled Nursing Facility 1850814039 Practice locations: Thornton, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326870650. Details of each certification follow.

Skilled nursing facility certification: CCN 065193

Legal name
THORNTON CARE CENTER LLC
Doing business as
THORNTON CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1984
Last certification
Dec 19, 2024
Beds
101
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Vivage Beecan
Most recent change of ownership
Jun 1, 2005
Organization structure
LLCProprietary
Enrollment address
501 Thornton Pkwy
Thornton, CO 80229-2101
Nursing home name
THORNTON CARE CENTER
Affiliated entity
LONG PEAK OPERATING COMPANY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Thornton Care CenterCCN 065193 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10181.3 residents per day on average
Chain
Long Peak Operating Company8 facilities in the chain
Penalties (3 years)
3Fines totaling $21,483

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Thornton Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Alan Elya Individual Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Jeannae Dergance Individual Adp of the SNF Sep 1, 2024
Long Peak Opco LLC Organization, Sacramento, CA Created for acquisition, LLC, Holding company 5% Or Greater Direct Ownership Interest Sep 1, 2024 0.01%
Chaim M Raskin Individual Corporate OfficerPresident Mar 1, 2023 100%
Beecan Health Co LLC Organization, Glendale, CO LLC, Management services company Operational/Managerial Control Sep 1, 2024
Adp of the SNF Sep 1, 2024
Thorton SNF Holding LLC Organization, Sacramento, CA Created for acquisition, LLC, Holding company 5% Or Greater Direct Ownership Interest Sep 1, 2024 99.99%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1326870650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 THORNTON PKWY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292101",
            "telephone_number": "303-452-6101",
            "fax_number": "303-452-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 THORNTON PKWY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292101",
            "telephone_number": "303-452-6101",
            "fax_number": "303-452-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNTON CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR COST REPORTING",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thornton Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.