NPIMap

Organization Active NPI

Christian Living Neighborhoods

  • Skilled Nursing Facility
  • Centennial, CO
National Provider Identifier
1699953463
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHRISTIAN LIVING NEIGHBORHOODS
Practice address
5590 E Peakview Ave
Centennial, CO 80121-3573
Phone
(720) 266-5888
Fax
(720) 684-4555
NPI assigned
Feb 4, 2008
Organization subpart
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5590 E Peakview Ave
Centennial, CO 80121-3573

Mailing address

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

Other names 1

  • The Suites at Holly Creek Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081113000388 CO Part A Provider - Skilled Nursing Facility 6507968773 Practice locations: Centennial, CO

Skilled nursing facility certification: CCN 065395

Legal name
CHRISTIAN LIVING NEIGHBORHOODS
Doing business as
THE SUITES AT HOLLY CREEK CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Mar 27, 2009
Last certification
Nov 21, 2024
Beds
25
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Christian Living Communities
Organization structure
CorporationNon-profit
Incorporated
Dec 21, 1990 in CO
Enrollment address
5500 East Peakview Avenue
Centennial, CO 80121-3539
Nursing home name
SUITES AT HOLLY CREEK 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 Holly Creek Care Center, theCCN 065395
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Mar 27, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2525.4 residents per day on average
Penalties (3 years)
1Fines totaling $21,678

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2000638The Suites at Holly Creek Care Center5590 E Peakview Ave, Centennial, CO 80121Certificate of waiverDec 2, 2027

National Provider Directory

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

Other organizations with this tax ID 5

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2480 S Clermont St
Denver, CO 80222
Phone (303) 758-1787

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
Bryon Childs Individual Corporate OfficerChief Financial Officer May 28, 2007
Trustee of the SNF May 28, 2007
Adp of the SNF May 28, 2007
Jill Vitale-Aussem Individual Corporate DirectorChief Executive Officer Nov 1, 2020 100%
Trustee of the SNF Nov 1, 2020
Adp of the SNF Nov 1, 2020
Traci Fralick Individual Corporate DirectorExecutive Assistant III Nov 5, 2018
Trustee of the SNF Nov 5, 2018
Adp of the SNF Nov 5, 2018
Individual Adp of the SNF Jan 1, 2020
Christian Living Neighborhoods Organization, Englewood, CO Corporation, Non-profit Operational/Managerial Control Sep 1, 2011
Adp of the SNF Mar 26, 2025
Direct Ownership Interest Sep 1, 2011 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
Jan Franken Individual Operational/Managerial Control Jul 9, 2007
Adp of the SNF Jul 9, 2007
Madelyn Chapman Individual Operational/Managerial Control Oct 23, 2020
Adp of the SNF Oct 23, 2020

Owners & managing parties with NPI records 2

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

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 Clermont Park Care CenterDenver, CO, CCN 065344 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 May 9, 1972
Mar 26, 2025
May 9, 1972
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

Owned or controlled facilities with NPI records 2

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

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 6

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": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1699953463",
    "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": "5590 E PEAKVIEW AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801213573",
            "telephone_number": "720-266-5888",
            "fax_number": "720-684-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN LIVING NEIGHBORHOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Suites at Holly Creek Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Suites at Holly Creek Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.