Organization Active NPI

Clear Creek Care Center LLC

  • Skilled Nursing Facility
  • Westminster, CO
National Provider Identifier
1740033737
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CLEAR CREEK CARE CENTER LLC
Practice address
7481 Knox PL
Westminster, CO 80030-4818
Phone
(303) 427-7101
Fax
(303) 996-5253
NPI assigned
Apr 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Mary Koretke
Title
Director Cost Reporting
Phone
(303) 378-8320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7481 Knox PL
Westminster, CO 80030-4818

Mailing address

720 S Colorado Blvd Ste 211
Glendale, CO 80246-1904
Phone (720) 974-6278

Other names 1

  • Clear Creek Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clear Creek Care Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1740033737",
    "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": "802461904",
            "telephone_number": "720-974-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 KNOX PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800304818",
            "telephone_number": "303-427-7101",
            "fax_number": "303-996-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CREEK CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR COST REPORTING",
        "authorized_official_telephone_number": "303-378-8320"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Creek Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.