NPIMap

Organization Active NPI

Red Oak Rehabilitation and Care Community, LLC

Doing business as Regent Park Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Holyoke, CO
National Provider Identifier
1700416849
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RED OAK REHABILITATION AND CARE COMMUNITY, LLC
Doing business as
Regent Park Nursing and Rehabilitation
Practice address
816 S Interocean Ave
Holyoke, CO 80734-2120
Phone
(970) 854-2251
NPI assigned
Jan 16, 2020
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Mary Koretke
Title
Director of Reimbursement
Phone
(303) 238-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

816 S Interocean Ave
Holyoke, CO 80734-2120

Mailing address

720 S Colorado Blvd Ste 211
Glendale, CO 80246-1923
Phone (303) 238-3838

Other names 1

  • Regent Park Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200318001137 CO Part A Provider - Skilled Nursing Facility 9739517129 Practice locations: Holyoke, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700416849. Details of each certification follow.

Skilled nursing facility certification: CCN 065302

Legal name
RED OAK REHABILITATION AND CARE COMMUNITY LLC
Doing business as
RED OAK REHABILITATION AND CARE COMMUNITY LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 14, 1992
Last certification
Nov 7, 2024
Beds
51
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Vivage Beecan
Most recent change of ownership
Jan 1, 2007
Organization structure
LLCProprietary
Incorporated
Jan 14, 2020 in CO
Enrollment address
816 South Interocean Avenue
Holyoke, CO 80734-2120
Nursing home name
REGENT PARK CARE CENTER
Affiliated entity
VIVAGE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regent Park Care CenterCCN 065302 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 14, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5142.7 residents per day on average
Chain
Vivage Senior Living6 facilities in the chain
Penalties (3 years)
2Fines totaling $14,837

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Red Oak Rehabilitation and Care Community LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
John D Brammeier Individual 5% Or Greater Direct Ownership Interest Mar 1, 2020 23.75%
Corporate OfficerTreasurer, QP Healthcare Service Dec 31, 2011 18%
Mary E Koretke Individual W-2 Managing EmployeeDirector of Reimbursement Mar 1, 2020
Jay H Moskowitz Individual 5% Or Greater Direct Ownership Interest Mar 1, 2020
Corporate OfficerCeo, QP Healthcare Services Dec 31, 2011 82%
Julie Kotch Individual Operational/Managerial ControlNha Mar 1, 2020 100%
QP Health Care Services LLC Organization, Glendale, CO LLC, Management services company, For-profit Operational/Managerial Control Mar 1, 2020 100%

Facilities with the same owner 13

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

View all 13

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1700416849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD STE 211",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461923",
            "telephone_number": "303-238-3838",
            "fax_number": "303-987-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S INTEROCEAN AVE",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807342120",
            "telephone_number": "970-854-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED OAK REHABILITATION AND CARE COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "303-238-3838"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regent Park Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regent Park Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holyoke, CO

Sources for this page

Verify at the official NPI Registry.