Organization Active NPI

Cheyenne SNF Healthcare, LLC

  • Skilled Nursing Facility
  • Colorado Springs, CO
National Provider Identifier
1366136178
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 23, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 AcuteCCN 065147
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180162.0 residents per day on average
Chain
Pacs Group274 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $29,224

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0676012Mountain View Post Acute835 Tenderfoot Hill Road, Colorado Springs, CO 80906Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%
John T Mitchell Individual Corporate OfficerVice President, Asst Secretary Sep 1, 2023
Panther Master Tenant, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2023 100%
Cameron Tuttle Individual W-2 Managing EmployeeAdministrator Sep 1, 2023
Frederick G Apt Individual Corporate OfficerTreasurer Jan 1, 2024
Providence Group NH, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2023 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2023 100%
Joshua O Jergensen Individual Corporate OfficerPresident Jan 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2023 100%
David C Shepherd Individual Contracted Managing EmployeeMD; Jan 1, 2022
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%
Corporate OfficerCeo 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.

Facilities with the same owner 186

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

View all 186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.