NPIMap

Organization Active NPI

Christian Living Neighborhoods

Doing business as Christian Living Communities the Suites at Clermont Park

  • Skilled Nursing Facility
  • Denver, CO
National Provider Identifier
1598740755
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0359 Issued in CO
Legal business name
CHRISTIAN LIVING NEIGHBORHOODS
Doing business as
Christian Living Communities the Suites at Clermont Park
Practice address
2480 S Clermont St
Denver, CO 80222-6512
Phone
(303) 758-4528
Fax
(303) 758-1787
NPI assigned
Dec 9, 2005
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIAN LIVING COMMUNITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Lisa B Denbraber
Title
Lead Billing Specialist
Phone
(720) 974-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0272 CO
Skilled Nursing Facility 314000000X 0359 CO Primary

Addresses

Primary practice location

2480 S Clermont St
Denver, CO 80222-6512

Mailing address

9570 S Kingston CT Ste 300
Englewood, CO 80112-6004
Phone (720) 974-3900

Other identifiers 1

IdentifierTypeStateIssuer
23409231MedicaidCO

Other names 1

  • Christian Living Communities the Suites at Clermont Park Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000122 CO Part A Provider - Skilled Nursing Facility 6507968773 Practice locations: Denver, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598740755. Details of each certification follow.

Skilled nursing facility certification: CCN 065344

Legal name
CHRISTIAN LIVING NEIGHBORHOODS
Doing business as
THE SUITES AT CLERMONT PARK CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 1, 1996
Last certification
Jan 11, 2024
Beds
63
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Christian Living Communities
Organization structure
CorporationNon-profit
Incorporated
Dec 21, 1990 in CO
Enrollment address
2480 South Clermont Street
Denver, CO 80222-6512
Nursing home name
SUITES AT CLERMONT PARK CARE CENTER, THE

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Suites at Clermont Park Care Center, theCCN 065344 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6359.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Christian Living Neighborhoods6 organizations share this tax ID, including this one
Part of
Christian Living Neighborhoods

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Individual Adp of the SNF Aug 1, 2025
Bryon Childs Individual Corporate OfficerChief Financial Officer May 28, 2007 100%
Trustee of the SNF May 28, 2007
Adp of the SNF May 28, 2007
Jill Vitale-Aussem Individual Corporate OfficerChief Executive Officer Nov 1, 2020
Trustee of the SNF Nov 1, 2020
Adp of the SNF Nov 1, 2020
Traci Fralick Individual Corporate DirectorExective Assistant III Nov 5, 2018
Trustee of the SNF Nov 5, 2018
Adp of the SNF Nov 5, 2018
Christian Living Neighborhoods Organization, Englewood, CO Corporation, Non-profit Operational/Managerial Control May 9, 1972
Adp of the SNF Mar 26, 2025
Direct Ownership Interest May 9, 1972 100%
Jayne Keller Individual Corporate OfficerChief Operating Officer Apr 1, 2021
Trustee of the SNF Apr 1, 2021
Adp of the SNF Apr 1, 2021
Individual Adp of the SNF Sep 1, 2025
Indirect Ownership Interest Sep 1, 2025
Jan Franken Individual Operational/Managerial Control Jul 9, 2007
Adp of the SNF Jul 9, 2007

Owners & managing parties with NPI records 2

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

  • Christian Living Neighborhoods

    dba The Suites at Holly Creek Care Center

    • Skilled Nursing Facility
    • Centennial, CO
    • NPI 1699953463

    Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Christian Living Neighborhoods

    dba Christian Living Communities The Suites at Someren Glen Care Center

    • Skilled Nursing Facility
    • Centennial, CO
    • NPI 1871578039

    Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
The Suites at Someren Glen Care CenterCentennial, CO, CCN 065345 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Mar 1, 1996
Mar 27, 2025
Mar 1, 1996
The Suites at Holly Creek Care CenterCentennial, CO, CCN 065395 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Sep 1, 2011
Mar 26, 2025
Sep 1, 2011

Owned or controlled facilities with NPI records 2

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

  • Christian Living Neighborhoods

    dba The Suites at Holly Creek Care Center

    • Skilled Nursing Facility
    • Centennial, CO
    • NPI 1699953463

    Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Christian Living Neighborhoods

    dba Christian Living Communities The Suites at Someren Glen Care Center

    • Skilled Nursing Facility
    • Centennial, CO
    • NPI 1871578039

    Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1598740755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 S KINGSTON CT STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801126004",
            "telephone_number": "720-974-3900",
            "fax_number": "720-974-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S CLERMONT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226512",
            "telephone_number": "303-758-4528",
            "fax_number": "303-758-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN LIVING NEIGHBORHOODS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN LIVING COMMUNITIES",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "DENBRABER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LEAD BILLING SPECIALIST",
        "authorized_official_telephone_number": "720-974-3900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "0272",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23409231",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Living Communities the Suites at Clermont Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.