Organization Active NPI

SNH Co Tenant LLC

  • Skilled Nursing Facility
  • Canon City, CO
National Provider Identifier
1629629183
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SNH CO TENANT LLC
Practice address
515 Fairview Ave
Canon City, CO 81212-2863
Phone
(719) 275-0665
Fax
(719) 275-6225
NPI assigned
Sep 26, 2019
Organization subpart
Yes
Parent organization
SNH CO TENANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Christopher Bilotto
Title
President, Ceo, & Managing Trustee
Phone
(617) 796-8350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

515 Fairview Ave
Canon City, CO 81212-2863

Mailing address

255 Washington St Ste 300
Newton, MA 02458-1634
Phone (617) 796-8350

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidCO

Other names 1

  • Skyline Ridge Nursing and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191210003382 CO Part A Provider - Skilled Nursing Facility 5294168068 Practice locations: Canon City, CO

Skilled nursing facility certification: CCN 065250

Legal name
SNH CO TENANT LLC
Doing business as
SKYLINE RIDGE NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1989
Last certification
Sep 19, 2024
Beds
85
Ownership / control type
Corporation
Multi-facility organization
Stellar Senior Living
Organization structure
LLCProprietary
Incorporated
Sep 10, 2019 in MD
Enrollment address
515 Fairview Ave
Canon City, CO 81212-2863
Nursing home name
SKYLINE RIDGE NURSING & REHABILITATION CENTER
Affiliated entity
STELLAR SENIOR LIVING

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Skyline Ridge Nursing & Rehabilitation CenterCCN 065250
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8568.2 residents per day on average
Chain
Stellar Senior Living7 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $21,320

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
SNH Co Tenant LLC13 organizations share this tax ID, including this one
Part of
SNH Co Tenant LLC

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Diversified Healthcare Trust Organization, Newton, MA For-profit, Real estate investment trust (REIT) 5% Or Greater Indirect Ownership Interest Jan 1, 2020 100%
Operational/Managerial Control Jan 1, 2020
Adam D Portnoy Individual 5% Or Greater Indirect Ownership InterestManaging Trustee Mar 22, 2024 9.67%
Corporate DirectorManaging Trustee Chair Jan 1, 2020 100%
Operational/Managerial Control Jan 1, 2020
Adp of the SNF Jan 1, 2020
Stellar Senior Living B LLC Organization, Midvale, UT LLC, Management services company, For-profit Operational/Managerial Control Aug 1, 2021
Adp of the SNF Apr 21, 2025
SNH TRS, Inc. Organization, Newton, MA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2020 100%
Operational/Managerial Control Jan 1, 2020
Charles Schwab Investment Management, Inc. Organization, San Francisco, CA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 22, 2024 5.97%
Operational/Managerial Control Mar 22, 2024
Christopher J. Bilotto Individual Corporate OfficerPresident, Ceo, & Managing Trustee Jan 1, 2024 100%
Corporate DirectorManaging Trustee Jan 1, 2024 100%
Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Blackrock Inc Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 22, 2024 7.77%
Operational/Managerial Control Mar 22, 2024
Sptmnr Properties Trust Organization, Newton, MA For-profit, Real estate investment trust (REIT) 5% Or Greater Direct Ownership Interest Jan 1, 2024 100%
Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2020
Jennifer B Clark Individual Corporate OfficerSecretary Jan 1, 2020 100%
Operational/Managerial Control Jan 1, 2020
Adp of the SNF Jan 1, 2020
Matthew C. Brown Individual Corporate OfficerTreasurer & Chief Financial Officer Oct 1, 2023 100%
Operational/Managerial Control Oct 1, 2023
Adp of the SNF Oct 1, 2023
Stellar V LLC Organization, Midvale, UT LLC, Management services company, For-profit Operational/Managerial Control Aug 1, 2021
Adp of the SNF Apr 21, 2025
SNH Proj Lincoln TRS LLC Organization, Newton, MA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%
Operational/Managerial Control Jan 1, 2020
Flat Footed LLC Organization, Wilson, WY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 22, 2024 9.77%
Operational/Managerial Control Mar 22, 2024
Abp Trust Organization, Newton, MA Real estate investment trust (REIT) 5% Or Greater Indirect Ownership Interest Mar 22, 2024 9.67%
Operational/Managerial Control Mar 22, 2024
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 22, 2024 8.35%
Operational/Managerial Control Mar 22, 2024
SNH TRS Licensee Holdco LLC Organization, Newton, MA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2020 100%
Operational/Managerial Control Jan 1, 2020
Organization, Baltimore, MD Corporation, Medical provider/supplier, For-profit Adp of the SNF Apr 21, 2025
H/2 Special Opportunities IV L.P. Organization, Stamford, CT Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 22, 2024 6.2%
Operational/Managerial Control Mar 22, 2024
Organization, Minneapolis, MN Consulting firm, For-profit Adp of the SNF Apr 21, 2025
Stellar Skyline Ridge Management LLC Organization, Midvale, UT LLC, Management services company, For-profit Operational/Managerial Control Aug 1, 2021
Adp of the SNF Apr 21, 2025
D.E. Shaw & Co., L.P. Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 22, 2024 5.73%
Operational/Managerial Control Mar 22, 2024
Evrett Benton Individual Operational/Managerial Control Aug 1, 2021
Adp of the SNF Aug 1, 2021
Organization, Cincinnati, OH Medical provider/supplier, Consulting firm, For-profit Adp of the SNF Apr 21, 2025
Steven C Kinnett Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Flissitee Gallegoes Individual Operational/Managerial Control Oct 7, 2024
Adp of the SNF Oct 7, 2024
Roberto Newman Individual Operational/Managerial Control Jul 1, 2000
Adp of the SNF Jul 1, 2000

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 10

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": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1629629183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST STE 300",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581634",
            "telephone_number": "617-796-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRVIEW AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122863",
            "telephone_number": "719-275-0665",
            "fax_number": "719-275-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH CO TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH CO TENANT LLC",
        "enumeration_date": "2019-09-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "BILOTTO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT, CEO, & MANAGING TRUSTEE",
        "authorized_official_telephone_number": "617-796-8350"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Ridge Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skyline Ridge Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.