NPIMap

Organization Active NPI

Pikes Peak SNF Healthcare, LLC

  • Skilled Nursing Facility
  • Colorado Springs, CO
National Provider Identifier
1376237198
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PIKES PEAK SNF HEALTHCARE, LLC
Practice address
2719 N Union Blvd
Colorado Springs, CO 80909-1145
Phone
(719) 636-1676
NPI assigned
Jun 5, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
John Mitchell
Title
Secretary
Phone
(385) 988-3319

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 1

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

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pikes Peak Post AcuteCCN 065415
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 9, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
210168.4 residents per day on average
Chain
Pacs Group274 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $89,318

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
06D0517602Pikes Peak Post Acute2719 North Union Boulevard, Colorado Springs, CO 80909Certificate of waiverAug 31, 2026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231030001058 CO Part a Provider - Skilled Nursing Facility 7416303300 Practice locations: Colorado Springs, CO

Skilled nursing facility certification: CCN 065415

Medicare enrollment files
Legal name
PIKES PEAK SNF HEALTHCARE LLC
Doing business as
PIKES PEAK POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 9, 2015
Last certification
Jan 30, 2025
Beds
210
Ownership / control type
Corporation
Multi-facility organization
Post Acute Care Solutions
Most recent change of ownership
Sep 1, 2023
Organization structure
LLCProprietary
Incorporated
May 15, 2023 in CO
Enrollment address
2719 N Union Blvd
Colorado Springs, CO 80909-1145
Nursing home name
PIKES PEAK POST ACUTE
Affiliated entity
PACS GROUP

All disclosed owners & managing parties 11

Medicare enrollment files

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

NameRoleSinceShare
Jonathan Creason Individual W-2 Managing EmployeeAdministrator Sep 1, 2023
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%
John T Mitchell Individual Corporate OfficerSecretary Jan 1, 2024
Panther Master Tenant, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2023 100%
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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2719 N Union Blvd
Colorado Springs, CO 80909-1145

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

NPPES NPI Registry
  • Pikes Peak Post Acute Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2024.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1376237198",
    "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": "2719 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091145",
            "telephone_number": "719-636-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK 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": "Pikes Peak Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.