Crestmoor Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CRESTMOOR CARE CENTER LLC

Practice address

895 S Monaco Pkwy
Denver, CO 80224-1501

Phone

(303) 321-3110

Fax

(303) 321-1581

NPI assigned

Jul 29, 2025

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, Cost Reporting

Phone

(720) 974-6278

Specialties & licenses 1

Addresses

Other names 1

• Crestmoor Care Center Doing business as

Tax ID family

Crestmoor Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crestmoor Care Center LLC

  • Skilled Nursing Facility
  • Denver, CO
  • NPI 1588496814
  NPD tax ID

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1417830357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 S MONACO PKWY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241501",
            "telephone_number": "303-321-3110",
            "fax_number": "303-321-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 S MONACO PKWY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241501",
            "telephone_number": "303-321-3110",
            "fax_number": "303-321-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTMOOR CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR, COST REPORTING",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestmoor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chavone Crespo, LHMC, LPC
• Madison Cress
• Crest Assisting
• Crest Point LLC
• Michael Crest, CSFA
• Crestmoor Care Center LLC
• Crestmoor Health and Rehabilitation Center LLC
• Crestmoor Health and Rehabilitation Center LLC
• Crestone Research Group
• Elizabeth Ann Crew, LCSW, LAC

• Skilled Nursing Facility in Denver, CO
• Providers in Denver, 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 Jul 29, 2025; 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.