Conifer Care Communities B, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0268 Issued in CO

Legal business name

CONIFER CARE COMMUNITIES B, LLC

Practice address

4660 E Asbury Cir
Denver, CO 80222-4723

Phone

(303) 756-1546

Fax

(303) 759-0954

NPI assigned

Jan 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mary Koretke

Title

Director of Reimbursement

Phone

(720) 974-6278

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookshire House Rehabilitation and Care Community Doing business as

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1457330243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12136 W BAYAUD AVE",
            "address_2": "SUITE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282115",
            "telephone_number": "720-974-6278",
            "fax_number": "303-987-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 E ASBURY CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224723",
            "telephone_number": "303-756-1546",
            "fax_number": "303-759-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONIFER CARE COMMUNITIES B, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "720-974-6278",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71787267",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookshire House Rehabilitation and Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert G Congdon, MD
• Indigo Conger, LMFT
• Kimber-Lynne Conger, MD
• Conifer Care Communities a, LLC
• Conifer Care Communities a, LLC
• Conifer Care Communities B, LLC
• Karen Conklin-Johnson, LPC
• Emily Anne Conklin
• Jacob Russell Conklin, M.S., NCC, LPCC
• Trenten Conkling, PA

• 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 Mar 16, 2016; 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.