NPIMap

Organization Active NPI

Cottonwood Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Durango, CO
National Provider Identifier
1700513439
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COTTONWOOD REHABILITATION AND HEALTHCARE CENTER LLC
Practice address
450 Prospector Ave
Durango, CO 81301-7940
Phone
(970) 516-1404
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Ralph Gottlieb
Title
Manager of the Manager
Phone
(970) 828-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

450 Prospector Ave
Durango, CO 81301-7940

Mailing address

575 Route 70 FL 2
Brick, NJ 08723-4042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221031001204 CO Part A Provider - Skilled Nursing Facility 6709253057 Practice locations: Durango, CO

Skilled nursing facility certification: CCN 065411

Legal name
COTTONWOOD REHABILITATION AND HEALTHCARE CENTER LLC
Doing business as
COTTONWOOD REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Mar 25, 2014
Last certification
Nov 21, 2024
Beds
40
Ownership / control type
Partnership
Multi-facility organization
Centennial Healthcare
Most recent change of ownership
Sep 1, 2022
Organization structure
LLC
Enrollment address
450 Prospector Ave
Durango, CO 81301-7940
Nursing home name
COTTONWOOD REHABILITATION AND HEALTHCARE CENTER
Affiliated entity
CENTENNIAL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cottonwood Rehabilitation and Healthcare CenterCCN 065411
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Partnership
Certified
Mar 25, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4037.2 residents per day on average
Chain
Centennial Healthcare8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 38

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

NameRoleSinceShare
Individual Trustee of the SNF Sep 1, 2022
Organization, Toms River, NJ Indirect Ownership Interest Sep 1, 2022 0.93%
Centennial III Colorado Holdco LLC Organization, Brick, NJ LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2022 100%
Individual Trustee of the SNF Sep 1, 2022
Individual Indirect Ownership Interest Sep 1, 2022 1%
Individual Indirect Ownership Interest Sep 1, 2022 0.75%
Refoel Gottlieb Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2022 20%
Operational/Managerial Control Sep 1, 2022
Managing Control - Governing BodyManager of the Manager Sep 1, 2022
Adp of the SNF Sep 1, 2022
Emssah Non- Grantor Trust Organization, Toms River, NJ 5% Or Greater Indirect Ownership Interest Sep 1, 2022 9.51%
Individual Indirect Ownership Interest Sep 1, 2022 1%
Gotts Consulting Colorado LLC Organization, Toms River, NJ LLC Operational/Managerial Control Sep 1, 2022
Organization, Toms River, NJ Indirect Ownership Interest Sep 1, 2022 0.93%
Mark W Turpen Individual Operational/Managerial Control May 1, 2024
Adp of the SNF Aug 27, 2025
Individual Trustee of the SNF Sep 1, 2022
Organization, Toms River, NJ Indirect Ownership Interest Jan 1, 2025 7%
Organization, Toms River, NJ LLC Adp of the SNF Sep 1, 2022
Organization, Toms River, NJ LLC Adp of the SNF Sep 2, 2022
Individual Indirect Ownership Interest Sep 1, 2022 0.75%
Organization, Toms River, NJ LLC Adp of the SNF Sep 1, 2022
Centennial MN TR I Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 1, 2022 17.74%
Individual Indirect Ownership Interest Sep 1, 2022 0.5%
Organization, Toms River, NJ LLC Adp of the SNF Sep 1, 2022
Organization, Toms River, NJ LLC Direct Ownership Interest Sep 1, 2022 100%
Organization, Toms River, NJ Adp of the SNF Sep 1, 2022
Indirect Ownership Interest Sep 1, 2022 0.49%
Centennial Yf Trust I Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 1, 2022 17.73%
Adp of the SNF Sep 1, 2022
Individual Trustee of the SNF Sep 1, 2022
Individual Indirect Ownership Interest Sep 1, 2022 2%
Organization, Toms River, NJ Indirect Ownership Interest Sep 1, 2022 0.93%
Individual Trustee of the SNF Sep 1, 2022
Individual Trustee of the SNF Sep 1, 2022
Christine Bradley Individual Operational/Managerial Control Sep 12, 2022
Adp of the SNF Aug 27, 2025
Individual Trustee of the SNF Sep 1, 2022
Centennial Ms Trust I Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 1, 2022 17.74%
Adp of the SNF Sep 1, 2022
Indirect Ownership Interest Sep 1, 2022 17.74%
Organization, Toms River, NJ Adp of the SNF Sep 1, 2022
Capital Finance LLC Organization, Baltimore, MD LLC 5% Or Greater Security Interest Sep 1, 2022
Operational/Managerial Control Sep 1, 2022
Individual Trustee of the SNF Sep 1, 2022
Adp of the SNF Sep 1, 2022
Indirect Ownership Interest Sep 1, 2022 10%
Moshe Weintraub Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2022 7%
Individual Trustee of the SNF Sep 1, 2022
Indirect Ownership Interest Sep 1, 2022 1%
Organization, Toms River, NJ LLC Indirect Ownership Interest Sep 1, 2022 100%

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 26

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

View all 26

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1700513439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 70 FL 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PROSPECTOR AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017940",
            "telephone_number": "970-516-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD REHABILITATION AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "MANAGER OF THE MANAGER",
        "authorized_official_telephone_number": "970-828-1414"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.