Active NPI
State of Colorado
Doing business as Colorado State Veterans Home at Fitzsimons
- Skilled Nursing Facility
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0298
- Legal business name
- STATE OF COLORADO
- Doing business as
- Colorado State Veterans Home at Fitzsimons
- Practice address
- 1919 Quentin Street
Aurora, CO 80045 - Phone
- (720) 857-6400
- Fax
- (720) 857-6500
- NPI assigned
- Nov 22, 2006
- Last updated
- Jul 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brad Honl
- Title
- Administrator
- Phone
- (720) 857-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0298 | CO | Primary |
Addresses
Primary practice location
1919 Quentin Street
Aurora, CO 80045
Mailing address
1919 Quentin Street
Aurora, CO 80045
Phone (720) 857-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82159815 | Medicaid | CO |
Other names 1
- Colorado State Veterans Home at Fitzsimons
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030108000015 | CO | Part A Provider - Skilled Nursing Facility | 5991613812 | Practice locations: Aurora, CO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508931536. Details of each certification follow.
Skilled nursing facility certification: CCN 065380
- Legal name
- STATE OF COLORADO
- Doing business as
- COLORADO STATE VETERANS COMMUNITY LIVING CENTER AT FITZSIMONS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 2003
- Last certification
- Nov 21, 2024
- Beds
- 180
- Ownership / control type
- Individual
- Multi-facility organization
- Veterans Community Living Centers
- Organization structure
- Government
- Incorporated
- in CO
- Enrollment address
- 1919 Quentin Street
Aurora, CO 80045-7125 - Nursing home name
- VETERANS COMMUNITY LIVING CENTER AT FITZSIMONS
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Colorado Veterans Community Living Center at Fitzsimons Phar
- Community/Retail Pharmacy
- Aurora, CO
- NPI 1053579177
5991613812
-
dba Colorado State Veterans Nursing Home - Rifle
- Skilled Nursing Facility
- Rifle, CO
- NPI 1093702722
5991613812
-
dba Colorado Veterans Community Living Center Homelake
- Skilled Nursing Facility
- Monte Vista, CO
- NPI 1114085875
5991613812
-
dba Colorado Mental Health Institute Pueblo
- Psychiatric Hospital
- Pueblo, CO
- NPI 1144352550
5991613812
-
dba Colorado Mental Health Institute Fort Logan
- Psychiatric Hospital
- Denver, CO
- NPI 1548393937
5991613812
-
dba Bruce McCandless Colorado State Veterans Nursing Home
- Skilled Nursing Facility
- Florence, CO
- NPI 1669470910
5991613812
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Veterans Community Living Center at Fitzsimons
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Mar 1, 2003
- Medicare certification status
- Active
- Certified beds
- 180
National Provider Directory
National Provider Directory- Tax ID family
- Fort Lyon Correctional Facility
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.
-
- Prison Health Clinic/Center
- Limon, CO
- NPI 1386196665
-
- Prison Health Clinic/Center
- Canon City, CO
- NPI 1518857531
-
- Prison Health Clinic/Center
- Rifle, CO
- NPI 1528956166
-
- Prison Health Clinic/Center
- Canon City, CO
- NPI 1538059670
-
- Prison Health Clinic/Center
- Model, CO
- NPI 1558251504
-
- Public Health or Welfare Agency
- Aurora, CO
- NPI 1427181098
-
dba Geriatrics Services
- Psychiatric Hospital Unit
- Pueblo, CO
- NPI 1457483851
-
- Psychiatric Hospital Unit
- Pueblo, CO
- NPI 1548392947
-
- Developmentally Disabled Services Day Training Agency
- Grand Junction, CO
- NPI 1366119257
-
- Developmentally Disabled Services Day Training Agency
- Grand Junction, CO
- NPI 1508533480
-
- Developmentally Disabled Services Day Training Agency
- Grand Junction, CO
- NPI 1588339899
-
dba Mental Health Transitional Living Home Wiggins
- Mental Illness Community Based Residential Treatment Facility
- Pueblo West, CO
- NPI 1396567962
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Carrie Hsu | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Ranell Simmons | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 |
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Colorado Mental Health Institute Pueblo | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Apr 11, 2013 Apr 11, 2013 |
| Colorado Mental Health Institute at Fort Logan | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Colorado Veterans Community Living Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2015 Jan 1, 2015 |
| Colorado Veterans Community Living Center - Homelake | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Jan 12, 2007 |
| Colorado Veterans Community Living Center at Florence (Bruce McCandles | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 1975 |
Owned or controlled facilities with NPI records 6
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Colorado State Veterans Nursing Home - Rifle
- Skilled Nursing Facility
- Rifle, CO
- NPI 1093702722
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Colorado Veterans Community Living Center Homelake
- Skilled Nursing Facility
- Monte Vista, CO
- NPI 1114085875
5% Or Greater Direct Ownership Interest
-
dba Colorado Mental Health Institute Pueblo
- Psychiatric Hospital
- Pueblo, CO
- NPI 1144352550
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Psychiatric Hospital
- Pueblo, CO
- NPI 1326170739
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Colorado Mental Health Institute Fort Logan
- Psychiatric Hospital
- Denver, CO
- NPI 1548393937
5% Or Greater Direct Ownership Interest
-
dba Bruce McCandless Colorado State Veterans Nursing Home
- Skilled Nursing Facility
- Florence, CO
- NPI 1669470910
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Golden, CO
- NPI 1588697726
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280275200000",
"number": "1508931536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 QUENTIN STREET",
"city": "AURORA",
"state": "CO",
"postal_code": "80045",
"telephone_number": "720-857-6400",
"fax_number": "720-857-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 QUENTIN STREET",
"city": "AURORA",
"state": "CO",
"postal_code": "80045",
"telephone_number": "720-857-6400",
"fax_number": "720-857-6500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2010-07-28",
"status": "A",
"authorized_official_last_name": "HONL",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "720-857-6400"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CO",
"license": "0298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82159815",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Colorado State Veterans Home at Fitzsimons",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Aurora, CO
- Jennifer Lynn Starr, M.D.
- Raven Melina Starr, MS, RN, AACNS-AG
- Rebecca S Starrett, OT
- Meredith A Stasi, PA
- State of Colorado (Colorado Veterans Community Living Center at Fitzsimons Phar)
- Brooke Ann Staten
- Janelle Statham
- Station Dental Group, PC (Station Dental Arvada)
- Linda Staubli, ACCNS-AG
- Stacey Jill Staudinger, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.