NPIMap

Organization Active NPI

Portercare Adventist Health System

Doing business as Adventhealth Porter

  • Psychiatric Hospital Unit
  • Denver, CO
National Provider Identifier
1497763262
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
1036 Issued in CO
Legal business name
PORTERCARE ADVENTIST HEALTH SYSTEM
Doing business as
Adventhealth Porter
Practice address
2525 S Downing St
Denver, CO 80210-5817
Phone
(303) 778-1955
NPI assigned
Aug 4, 2006
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Andrew Whitlock
Title
Cfo
Phone
(303) 778-5892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 1036 CO Primary

Addresses

Primary practice location

2525 S Downing St
Denver, CO 80210-5817

Mailing address

PO Box 713425
Chicago, IL 60677-4325

Other identifiers 1

IdentifierTypeStateIssuer
05064001MedicaidCO

Other names 2

  • ADVENTHEALTH PORTER Doing business as
  • Centura Porter Adventist Hospital Psych Unit Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH
CONNECT URL https://www.mettles.com/ Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070108000145 CO Part A Provider - Hospital 0941110886 Practice locations: Denver, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497763262. Details of each certification follow.

Hospital certification: CCN 06S064

Legal name
PORTERCARE ADVENTIST HEALTH SYSTEM
Doing business as
ADVENTHEALTH PORTER
Organization structure
CorporationNon-profit
Incorporated
Feb 20, 1930 in CO
Enrollment address
2525 S Downing St
Denver, CO 80210-5817
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Arapahoe Medical Labora217 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
Gary Thurber Individual Corporate DirectorTrustee Aug 1, 2023
Jeremy Pittman Individual Corporate OfficerSecretary/Treasurer Apr 4, 2024
David Vandevere Individual Corporate DirectorDirector Aug 21, 2025
Brett Spenst Individual Corporate OfficerPresident/Chairperson/Director Aug 1, 2023
Corporate DirectorPresident/Chairperson/Director Aug 1, 2023
Alexandra Smart Individual Corporate DirectorEx-Officio Jul 1, 2023
Jeffrey Graff Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Diane Godfrey Individual Corporate OfficerAssistant Secretary Dec 11, 2025
Karsten Randolph Individual Corporate DirectorTrustee Aug 1, 2023
Srikanth a Sundaram Individual Corporate DirectorDirector Jul 1, 2022
Richard D'Ambrosio Individual Corporate OfficerAssistant Secretary Aug 24, 2023
Mandi L Beman Individual Corporate DirectorDirector Jul 1, 2022
Andrew D Jahn Individual Corporate OfficerChair/Vice President Apr 4, 2024
Corporate DirectorTrustee Apr 4, 2024
Stuart Halsall Individual Corporate DirectorDirector Jul 1, 2022
Andrew Nathan Whitlock Individual Contracted Managing EmployeeCfo/Director Aug 1, 2023
Corporate DirectorCfo/Director Aug 1, 2023
Operational/Managerial ControlCfo/Director Aug 1, 2023
Marisa Farabaugh Individual Corporate OfficerAssistant Secretary Apr 9, 2026
Michael Saunders Individual Corporate OfficerAssistant Secretary Aug 24, 2023
Ingrid Johnson Individual Corporate DirectorDirector Jul 1, 2023
Lars Houmann Individual Corporate DirectorTrustee Aug 1, 2023
David a Weis Individual Corporate OfficerVice Chair Jan 1, 2026
Corporate DirectorTrustee Apr 9, 2026
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 1, 2001 100%
Toni Berrios Individual Corporate OfficerAssistant Secretary Aug 24, 2023
Gayle Pottle Individual Corporate DirectorPresident Jul 1, 2023
Haney Vincent Individual Corporate OfficerAssistant Secretary Dec 9, 2021
Douglas Pytlinski Individual Corporate OfficerAssistant Secretary Apr 9, 2026
Todd a Goodman Individual Corporate OfficerAssistant Secretary Feb 1, 2026
David L Huffman Individual Corporate OfficerAssistant Secretary Aug 22, 2024
Robert C Foltz Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Lynn Addiscott Individual Corporate OfficerAssistant Secretary Nov 10, 2005
Todd Folkenberg Individual Contracted Managing EmployeeCeo/Ex-Officio Aug 1, 2023
Corporate DirectorCeo/Ex-Officio Aug 1, 2023
Operational/Managerial ControlCeo/Ex-Officio Aug 1, 2023
Beverly Morgan Individual Corporate OfficerAssistant Secretary Aug 21, 2025

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of LittletonLittleton, CO, CCN 063034 Hospital 5% Or Greater Direct Ownership Interest (32%) Nov 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 85

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

View all 85

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1497763262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713425",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606774325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105817",
            "telephone_number": "303-778-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-778-5892"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CO",
            "license": "1036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05064001",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH PORTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centura Porter Adventist Hospital Psych Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Centura Porter Adventist Hospital Psych Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.