Broomfield Skilled Nursing and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0030 Issued in CO

Legal business name

BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC

Practice address

12975 Sheridan Blvd
Broomfield, CO 80020-1477

Phone

(303) 785-5800

Fax

(303) 785-5801

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Glenn Lefkovitz

Title

President

Phone

(847) 412-8791

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Broomfield Skilled Nursing & Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Skilled nursing facility certification: CCN 065379

Legal name

BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER LLC

Doing business as

ADARA LIVING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 6, 2002

Last certification

Jan 16, 2025

Beds

210

Ownership / control type

Corporation

Organization structure

LLCProprietary

Incorporated

Jul 19, 2001 in IL

Enrollment address

12975 Sheridan Blvd
Broomfield, CO 80020-1477

Nursing home name

ADARA LIVING

Listed as

Adara LivingCCN 065379

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Mar 6, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

210178.8 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $10,358

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 19

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

Practitioners 1

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

• Mary Gay Josephine Cruz Marangola, D.O.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Aurora, CO
  • NPI 1154776078

  Hospice and Palliative Medicine

  NPD (past)

Affiliated clinicians 1

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

• Cody Guggenmos, DO

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1396242731

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1376540583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12975 SHERIDAN BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201477",
            "telephone_number": "303-785-5800",
            "fax_number": "303-785-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12975 SHERIDAN BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201477",
            "telephone_number": "303-785-5800",
            "fax_number": "303-785-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "LEFKOVITZ",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-412-8791"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37605216",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broomfield Skilled Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cora Brotherton
• Catherine Brown, LPCC
• Erin Brown, COTA/L
• Julie W. Brown, FNP-C

• All providers in Broomfield, CO
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.

Verify at the official NPI Registry.