Active NPI
State of Colorado
Doing business as Bruce McCandless Colorado State Veterans Nursing Home
- Skilled Nursing Facility
- Florence, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0566
- Legal business name
- STATE OF COLORADO
- Doing business as
- Bruce McCandless Colorado State Veterans Nursing Home
- Practice address
- 903 Moore Dr
Florence, CO 81226-9509 - Phone
- (719) 784-6331
- Fax
- (719) 784-5335
- NPI assigned
- Jul 11, 2005
- Last updated
- May 21, 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
- Ms. Barbara Jean Moore, MBA, NHA
- Title
- Administrator
- Phone
- (719) 784-6331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0566 | CO | Primary |
Addresses
Primary practice location
903 Moore Dr
Florence, CO 81226-9509
Mailing address
903 Moore Dr
Florence, CO 81226-9509
Phone (719) 784-6331
Other names 1
- Bruce McCandless Colorado State Veterans Nursing Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080205000579 | CO | Part A Provider - Skilled Nursing Facility | 5991613812 | Practice locations: Florence, CO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1669470910. Details of each certification follow.
Skilled nursing facility certification: CCN 065394
- Legal name
- STATE OF COLORADO
- Doing business as
- COLORADO VETERANS COMMUNITY LIVING CENTER AT FLORENCE (BRUCE MCCANDLES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 2008
- Last certification
- Jun 6, 2024
- Beds
- 105
- Ownership / control type
- State
- Multi-facility organization
- State of Colorado Division of Veterans Community Living Centers
- Organization structure
- Government
- Enrollment address
- 903 Moore Dr
Florence, CO 81226-9509 - Nursing home name
- BRUCE MCCANDLESS CO STATE VETERANS NURSING HOME
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 State Veterans Home at Fitzsimons
- Skilled Nursing Facility
- Aurora, CO
- NPI 1508931536
5991613812
-
dba Colorado Mental Health Institute Fort Logan
- Psychiatric Hospital
- Denver, CO
- NPI 1548393937
5991613812
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bruce McCandless Co State Veterans Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - State
- Certified
- Oct 1, 2008
- Medicare certification status
- Active
- Certified beds
- 105
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0674367 | Bruce McCandless Colorado State Veterans | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Colorado State Veterans Nursing Home
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
- Canon City, CO
- NPI 1538059670
-
- Prison Health Clinic/Center
- Model, CO
- NPI 1558251504
-
- Prison Health Clinic/Center
- Denver, CO
- NPI 1669360251
-
- Prison Health Clinic/Center
- Pueblo, CO
- NPI 1669530192
-
- Prison Health Clinic/Center
- Sterling, CO
- NPI 1689562241
-
- Prison Health Clinic/Center
- Buena Vista, CO
- NPI 1699665737
-
- Prison Health Clinic/Center
- Canon City, CO
- NPI 1720978752
-
- Institutional Pharmacy
- Denver, CO
- NPI 1689733479
-
- Psychiatric Hospital Unit
- Pueblo, CO
- NPI 1548392947
-
- Institutional Pharmacy
- Pueblo, CO
- NPI 1649339516
-
- Clinic/Center
- Fort Lyon, CO
- NPI 1629132121
-
- Developmentally Disabled Services Day Training Agency
- Grand Junction, CO
- NPI 1588339899
Ownership & related parties
All disclosed owners & managing parties 4
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 | ||
| Jesse L Cowan | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| State of Colorado | 5% Or Greater Direct Ownership Interest | Nov 1, 1975 | 100% |
| Barbara Moore | Corporate Officer | Feb 1, 2006 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 |
Owners & managing parties with NPI records 6
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Colorado Veterans Community Living Center at Fitzsimons Phar
- Community/Retail Pharmacy
- Aurora, CO
- NPI 1053579177
5% Or Greater Direct Ownership Interest
-
dba Colorado State Veterans Nursing Home - Rifle
- Skilled Nursing Facility
- Rifle, CO
- NPI 1093702722
5% Or Greater Direct Ownership Interest
-
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
-
dba Colorado State Veterans Home at Fitzsimons
- Skilled Nursing Facility
- Aurora, CO
- NPI 1508931536
5% Or Greater Direct Ownership Interest
-
dba Colorado Mental Health Institute Fort Logan
- Psychiatric Hospital
- Denver, CO
- NPI 1548393937
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 4
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 |
Owned or controlled facilities with NPI records 5
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
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Colorado State Veterans Nursing Home - Rifle
- Skilled Nursing Facility
- Rifle, CO
- NPI 1093702722
State of Colorado
-
dba Colorado Veterans Community Living Center Homelake
- Skilled Nursing Facility
- Monte Vista, CO
- NPI 1114085875
State of Colorado
-
dba Colorado Mental Health Institute Pueblo
- Psychiatric Hospital
- Pueblo, CO
- NPI 1144352550
State of Colorado
-
dba Colorado Mental Health Institute Fort Logan
- Psychiatric Hospital
- Denver, CO
- NPI 1548393937
State of Colorado
Practitioners & affiliated clinicians
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": "1121040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274400000000",
"number": "1669470910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 MOORE DR",
"city": "FLORENCE",
"state": "CO",
"postal_code": "812269509",
"telephone_number": "719-784-6331",
"fax_number": "719-784-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 MOORE DR",
"city": "FLORENCE",
"state": "CO",
"postal_code": "812269509",
"telephone_number": "719-784-6331",
"fax_number": "719-784-5335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-11",
"last_updated": "2010-05-21",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "719-784-6331",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA, NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CO",
"license": "0566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bruce McCandless Colorado State Veterans Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Florence, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.