State of Colorado
Organization Active NPI Skilled Nursing Facility · Florence, CO
NPI 1669470910 · NPPES record last updated May 21, 2010
Key facts
- NPI
- 1669470910
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0566 (CO)
- Legal business name
- STATE OF COLORADO
- Practice address
- 903 Moore Dr
Florence, CO 81226-9509 - Phone
- (719) 784-6331
- Fax
- (719) 784-5335
- NPI assigned
- Jul 11, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Barbara Jean Moore, MBA, NHA
- Title
- Administrator
- Phone
- (719) 784-6331
Owners & managing parties with NPI records 6
Owned or controlled facilities with NPI records 5
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 24
Facilities with the same owner 4
Affiliated clinicians 1
-
Robert D McCurry, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Bruce McCandless Co State Veterans Nursing Home
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- Government - State
- Certified
- Oct 1, 2008
- Medicare certification status
- Active
- Certified beds
- 105 · 60.8 residents per day on average
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1 · fines totaling $52,988
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0674367 | Bruce McCandless Colorado State Veterans | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
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 · Non-profit
- Enrollment address
- 903 Moore Dr
Florence, CO 81226-9509 - Nursing home name
- BRUCE MCCANDLESS CO STATE VETERANS NURSING HOME
All disclosed owners & managing parties 4
| 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 |
All facility ownership & control disclosures 4
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080205000579 | CO | Part a Provider - Skilled Nursing Facility | 5991613812 | Practice locations: Florence, CO |
National Provider Directory
- Tax ID family
- Colorado State Veterans Nursing Home
Locations
903 Moore Dr
Florence, CO 81226
Phone (719) 784-5308
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0566 | CO | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41833015 | Medicaid | CO | |
| 056-54223 | Medicaid | CO |
Other names
- Bruce McCandless Colorado State Veterans Nursing Home
Other providers in Florence, CO
- Seth T Shaver
- Kaci Simpler
- David L. Smith
- Tracy Lynn Sockriter
- Caterina G Spinaris
- Richard G. Straight
- Rashelle V Trujillo
- Valhalla Healing Ranch, LLC
- Rebecca Vanbuskirk
- Jim Xu Wei
All providers in Florence, CO · Skilled Nursing Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.