NPIMap

Organization Active NPI

Palo Community Healthcare, LLC

  • Skilled Nursing Facility
  • Boulder, CO
National Provider Identifier
1508550997
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PALO COMMUNITY HEALTHCARE, LLC
Practice address
2800 Palo Pkwy
Boulder, CO 80301-1540
Phone
(303) 440-9100
NPI assigned
Jun 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Alicia Cepeda
Title
Senior Legal/Risk Manager
Phone
(385) 342-5175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2800 Palo Pkwy
Boulder, CO 80301-1540

Mailing address

2800 Palo Pkwy
Boulder, CO 80301-1540

Other names 1

  • Winding Trails Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231005002234 CO Part A Provider - Skilled Nursing Facility 0840645123 Practice locations: Boulder, CO

Skilled nursing facility certification: CCN 065267

Legal name
PALO COMMUNITY HEALTHCARE LLC
Doing business as
WINDING TRAILS POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 15, 1989
Last certification
Nov 21, 2024
Beds
150
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Sep 1, 2023
Organization structure
LLCProprietary
Incorporated
Jun 5, 2023 in CO
Enrollment address
2800 Palo Pkwy
Boulder, CO 80301-1540
Nursing home name
WINDING TRAILS POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Winding Trails Post AcuteCCN 065267
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 15, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15087.0 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
2Fines totaling $90,659

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0514923Winding Trails Post Acute2800 Palo Pkwy, Boulder, CO 80301Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%
John T Mitchell Individual Corporate OfficerSecretary Sep 1, 2023
Panther Master Tenant, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2023 100%
Frederick G Apt Individual Corporate OfficerTreasurer Sep 1, 2023
Providence Group NH, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2023 100%
Christopher S Horton Individual Contracted Managing EmployeeMD; Jul 20, 2023
Pacs Holdings, LLC Organization, Farmington, UT Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2023 100%
Joshua O Jergensen Individual Corporate OfficerPresident Jan 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2023 100%
Robert John Adlesich Individual W-2 Managing EmployeeAd; Jul 8, 2024
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%
Corporate OfficerCeo Sep 1, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 186

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

View all 186

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1508550997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PALO PKWY",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PALO PKWY",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011540",
            "telephone_number": "303-440-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO COMMUNITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "CEPEDA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "SENIOR LEGAL/RISK MANAGER",
        "authorized_official_telephone_number": "385-342-5175"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winding Trails Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.