Active NPI
Canyon View Care Center LLC
Doing business as Canyon View Care Center
- Skilled Nursing Facility
- Palisade, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CANYON VIEW CARE CENTER LLC
- Doing business as
- Canyon View Care Center
- Practice address
- 151 E 3Rd St
Palisade, CO 81526-5006 - Phone
- (970) 464-7500
- Fax
- (970) 464-0815
- NPI assigned
- Aug 15, 2024
- Last updated
- Aug 15, 2024
- 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
- Mary Koretke
- Title
- Director Cost Reporting
- Phone
- (720) 974-6278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
151 E 3Rd St
Palisade, CO 81526-5006
Mailing address
151 E 3Rd St
Palisade, CO 81526-5006
Phone (970) 464-7500
Other names 1
- Canyon View Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250506002852 | CO | Part A Provider - Skilled Nursing Facility | 5698292381 | Practice locations: Palisade, CO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1528890852. Details of each certification follow.
Skilled nursing facility certification: CCN 065228
- Legal name
- CANYON VIEW CARE CENTER LLC
- Doing business as
- CANYON VIEW CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1986
- Last certification
- Jul 23, 2024
- Beds
- 88
- Ownership / control type
- Corporation
- Multi-facility organization
- Beecan Vivage
- Most recent change of ownership
- Sep 1, 2024
- Organization structure
- LLC
- Enrollment address
- 151 E 3Rd St
Palisade, CO 81526-5006 - Nursing home name
- CANYON VIEW CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Canyon View Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 1986
- Medicare certification status
- Active
- Certified beds
- 88
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider Directory- Tax ID family
- Canyon View Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Canyon View Care Center
- Skilled Nursing Facility
- Palisade, CO
- NPI 1700769841
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Karla Valle | Corporate Officer | Sep 1, 2024 | 100% |
| Adp of the SNF | Sep 1, 2024 | ||
| Mary E Koretke | Adp of the SNF | Sep 1, 2024 | |
| Jeannae Dergance | Adp of the SNF | Sep 1, 2024 | |
| Jamie Lee Noble | Operational/Managerial Control | Mar 10, 2016 | |
| Adp of the SNF | Mar 10, 2016 | ||
| Jay H Moskowitz | Corporate Officer | Sep 1, 2024 | 100% |
| Adp of the SNF | Sep 1, 2024 | ||
| Cynthia Haskell | Adp of the SNF | Sep 1, 2024 | |
| Canyon View SNF Holdings LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 99.99% |
| Chaim M Raskin | Corporate Director | Mar 1, 2023 | 100% |
| Adp of the SNF | Sep 1, 2024 | ||
| Direct Ownership Interest | Sep 1, 2024 | 0.01% | |
| Beecan Health Co LLC | Operational/Managerial Control | Sep 1, 2024 | |
| Adp of the SNF | Mar 13, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Aurora, CO
- NPI 1841237070
Adp of the SNF
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Arbor View Care Center
- Skilled Nursing Facility
- Arvada, CO
- NPI 1518710599
Beecan Health Co LLC
-
dba Crestmoor Care Center
- Skilled Nursing Facility
- Denver, CO
- NPI 1588496814
Beecan Health Co LLC
-
- Skilled Nursing Facility
- Sterling, CO
- NPI 1194582189
Beecan Health Co LLC
-
dba Thornton Care Center
- Skilled Nursing Facility
- Thornton, CO
- NPI 1326870650
Beecan Health Co LLC
-
dba Wellsprings Care Center
- Skilled Nursing Facility
- Englewood, CO
- NPI 1649002973
Beecan Health Co LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723680000000",
"number": "1528890852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 E 3RD ST",
"city": "PALISADE",
"state": "CO",
"postal_code": "815265006",
"telephone_number": "970-464-7500",
"fax_number": "970-464-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 E 3RD ST",
"city": "PALISADE",
"state": "CO",
"postal_code": "815265006",
"telephone_number": "970-464-7500",
"fax_number": "970-464-0815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANYON VIEW CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-15",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A",
"authorized_official_last_name": "KORETKE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "DIRECTOR COST REPORTING",
"authorized_official_telephone_number": "720-974-6278"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Canyon View Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palisade, CO
- Delores Anderson
- Apricity Horizons Counseling LLC
- Elizabeth Schleich Benjamin, RPH
- Renee Cameron, LCSW
- Canyon View Care Center LLC (Canyon View Care Center)
- Community Medical Group, LLC (Community Care of the Grand Valley Palisade)
- Community Medical Group, LLC (Grand Valley Primary Care Palisade)
- William A Cowles, LCSW
- Brian E Day, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.