Vista Grande Rehabilitation and Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VISTA GRANDE REHABILITATION AND HEALTHCARE CENTER LLC

Practice address

680 E Hospital Dr
Cortez, CO 81321-6200

Phone

(970) 564-1122

NPI assigned

Aug 3, 2022

Last updated

Aug 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph Gottlieb

Title

Manager of the Manager

Phone

(970) 564-1122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437886181. Details of each certification follow.

• CCN 065153 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 065153

Legal name

VISTA GRANDE REHABILITATION AND HEALTHCARE CENTER LLC

Doing business as

VISTA GRANDE REHABILITATION AND HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 18, 1979

Last certification

May 9, 2024

Beds

101

Ownership / control type

Corporation

Multi-facility organization

Centennial Health Care

Most recent change of ownership

Sep 1, 2022

Organization structure

LLC

Enrollment address

680 E Hospital Dr
Cortez, CO 81321-6200

Nursing home name

VISTA GRANDE REHABILITATION AND HEALTHCARE CENTER

Affiliated entity

CENTENNIAL HEALTHCARE

Listed as

Vista Grande Rehabilitation and Healthcare CenterCCN 065153 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 18, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10166.2 residents per day on average

Chain

Centennial Healthcare8 facilities in the chain

Penalties (3 years)

2Fines totaling $36,023

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Vista Grande Rehabilitation and Healthcare Center LLC2 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.

• Vista Grande Rehabilitation and Healthcare Center LLC

  • Respite Care
  • Cortez, CO
  • NPI 1427785179
  NPD tax ID

All disclosed owners & managing parties 33

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mark Wesley Turpen, M.D.

  • Emergency Medicine Physician
  • Durango, CO
  • NPI 1043380413

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 7

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

• Cottonwood Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Durango, CO
  • NPI 1700513439

  Centennial III Colorado Holdco LLC, Centennial Ms Trust I, Emssah Non- Grantor Trust, Gotts Consulting Colorado LLC

  CMS ownership
• Pine Ridge Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Pagosa Springs, CO
  • NPI 1598492233

  Centennial I TBD Holdco LLC, Centennial III Colorado Holdco LLC, Centennial M Trust II, Centennial Ms Trust I, Emssah Non- Grantor Trust, Gotts Consulting Colorado LLC

  CMS ownership
• Rio Grande Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • La Jara, CO
  • NPI 1215664958

  Centennial III Colorado Holdco LLC, Centennial Ms Trust I, Emssah Non- Grantor Trust

  CMS ownership
• River Valley Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Del Norte, CO
  • NPI 1659008399

  Centennial I TBD Holdco LLC, Centennial III Colorado Holdco LLC, Centennial M Trust II, Centennial Ms Trust I, Emssah Non- Grantor Trust

  CMS ownership
• Rock Creek Rehabilitation and Healthcare Center LLC

  dba Rock Creek Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Monte Vista, CO
  • NPI 1457107336

  Centennial Ms Trust I, Gotts Consulting Colorado LLC

  CMS ownership
• The Valley Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Mancos, CO
  • NPI 1467189100

  Centennial I TBD Holdco LLC, Centennial III Colorado Holdco LLC, Centennial Ms Trust I, Emssah Non- Grantor Trust

  CMS ownership
• Trinidad Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Trinidad, CO
  • NPI 1083341721

  Centennial I TBD Holdco LLC, Gotts Consulting Colorado LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Wesley Turpen, M.D.

  • Emergency Medicine Physician
  • Durango, CO
  • NPI 1043380413
  NPD (past)

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1437886181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 70 FL 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E HOSPITAL DR",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813216200",
            "telephone_number": "970-564-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA GRANDE REHABILITATION AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "MANAGER OF THE MANAGER",
        "authorized_official_telephone_number": "970-564-1122"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Andrew Viquez, MD
• Megan Perez Viquez, M.D.
• Vista Grande Inn, Inc (vista grande inn)
• Vista Grande Inn, Inc. (Vista Grande Inn)
• Vista Grande Rehabilitation and Healthcare Center LLC
• Jon Christopher Vivolo, D.O.
• Wal-Mart Stores, Inc. (Vision Center 30-0966)
• Walgreen Co (Walgreens #10370)
• Walgreen Co. (Walgreens #10370)
• Edward Stuart Walker, DDS

• Skilled Nursing Facility in Cortez, CO
• Providers in Cortez, 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 Aug 1, 2023; 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.