Conifer Care Communities C, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020472 Issued in CO

Legal business name

CONIFER CARE COMMUNITIES C, LLC

Practice address

6270 W 38TH Ave
Wheat Ridge, CO 80033-5056

Phone

(303) 421-2272

Fax

(303) 421-1941

NPI assigned

Feb 11, 2016

Organization subpart

No

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

Authorized official

Name

Mary Koretke

Title

Director of Reimbursement

Phone

(720) 974-6278

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christopher House Rehabilitation and Care Community Doing business as

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1356700876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335056",
            "telephone_number": "303-421-2272",
            "fax_number": "303-421-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335056",
            "telephone_number": "303-421-2272",
            "fax_number": "303-421-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONIFER CARE COMMUNITIES C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "020472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73980021",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christopher House Rehabilitation and Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colin H Combs, MD
• Chelsea Lauren Comey, LPN
• Commonworks
• Jason Conger, LCSW, LMFT
• Conifer Care Communities C, LLC
• Katherine Conlin, LCSW
• Sheryl Conlon
• Connections Counseling
• Jennifer Ann Connelly, PHARMD, BCACP, BCGP
• Sheryl Kay Connolly

• Skilled Nursing Facility in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.