Active NPI
Cheyenne SNF Healthcare, LLC
- Skilled Nursing Facility
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CHEYENNE SNF HEALTHCARE, LLC
- Practice address
- 835 Tenderfoot Hill Rd
Colorado Springs, CO 80906-3903 - Phone
- (719) 576-8380
- NPI assigned
- Jun 5, 2023
- 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
- John Mitchell
- Title
- Secretary
- Phone
- (385) 988-3319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
835 Tenderfoot Hill Rd
Colorado Springs, CO 80906-3903
Mailing address
262 N University Ave
Farmington, UT 84025-2975
Other names 1
- Mountain View Post Acute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231206001642 | CO | Part A Provider - Skilled Nursing Facility | 9032568811 | Practice locations: Colorado Springs, CO |
Skilled nursing facility certification: CCN 065147
- Legal name
- CHEYENNE SNF HEALTHCARE LLC
- Doing business as
- MOUNTAIN VIEW POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1977
- Last certification
- Nov 16, 2023
- Beds
- 180
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- PACS
- Organization structure
- LLC
- Incorporated
- May 15, 2023 in CO
- Enrollment address
- 835 Tenderfoot Hill Rd
Colorado Springs, CO 80906-3903 - Nursing home name
- MOUNTAIN VIEW POST ACUTE
- Affiliated entity
- PACS GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mountain View Post Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 1, 1977
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Pacs Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0676012 | Mountain View Post Acute | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Jason H Murray | 5% Or Greater Indirect Ownership Interest | Apr 15, 2024 | 41.8% |
| John T Mitchell | Corporate Officer | Sep 1, 2023 | |
| Panther Master Tenant, LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2023 | 100% |
| Cameron Tuttle | W-2 Managing Employee | Sep 1, 2023 | |
| Frederick G Apt | Corporate Officer | Jan 1, 2024 | |
| Providence Group NH, LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 100% |
| Pacs Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 100% |
| Joshua O Jergensen | Corporate Officer | Jan 1, 2024 | |
| Pacs Group, Inc. | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 100% |
| David C Shepherd | Contracted Managing Employee | Jan 1, 2022 | |
| Mark D Hancock | 5% Or Greater Indirect Ownership Interest | Apr 15, 2024 | 41.8% |
| Corporate Officer | Jan 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.
-
- Internal Medicine Physician
- Colorado Springs, CO
- NPI 1902066442
Contracted Managing Employee
Facilities with the same owner 186
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Denver, CO
- NPI 1174236046
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Denver, CO
- NPI 1164135034
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Grand Junction, CO
- NPI 1760195648
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Lakewood, CO
- NPI 1851085237
Panther Master Tenant, LLC, Providence Group NH, LLC
-
- Skilled Nursing Facility
- Denver, CO
- NPI 1720792187
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Lafayette, CO
- NPI 1629762000
Panther Master Tenant, LLC, Providence Group NH, LLC
-
- Skilled Nursing Facility
- Lakewood, CO
- NPI 1932812815
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Grand Junction, CO
- NPI 1689368409
Panther Master Tenant, LLC, Providence Group NH, LLC
-
- Skilled Nursing Facility
- Boulder, CO
- NPI 1912610890
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Denver, CO
- NPI 1619661097
Panther Master Tenant, LLC, Providence Group NH, LLC
-
- Skilled Nursing Facility
- Denver, CO
- NPI 1639882517
Providence Group NH, LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1710945738
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Colorado Springs, CO
- NPI 1902066442
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724371200000",
"number": "1366136178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 N UNIVERSITY AVE",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840252975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 TENDERFOOT HILL RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063903",
"telephone_number": "719-576-8380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEYENNE SNF HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-05",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "385-988-3319"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain View Post Acute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.