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Portercare Adventist Health System

Organization Active NPI Cardiac Rehabilitation Clinic/Center · Littleton, CO

NPI 1750832382 · NPPES record last updated Aug 12, 2026

Key facts

NPI
1750832382
Entity type
Organization (NPI type 2)
Primary specialty
Cardiac Rehabilitation Clinic/Center 261QR0404X
Legal business name
PORTERCARE ADVENTIST HEALTH SYSTEM
Practice address
1000 Southpark Dr
Littleton, CO 80120-5654
Phone
(303) 744-1065
Fax
(303) 733-1699
NPI assigned
Oct 19, 2016
Organization subpart
No

Authorized official

Name
Mr. Jason Tacha
Title
Coo
Phone
(303) 304-7752

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

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

Practitioners 783

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

View all 783

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CO

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of Littleton
Littleton, CO · CCN 063034		 Hospital 5% Or Greater Direct Ownership Interest (32%) Nov 1, 2018

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090115000327 CO Part B Supplier - Clinic/Group Practice 0941110886 Receives reassigned benefits from 869 practitioners
This NPI is an additional NPI on the enrollment
O20161117001747 CO Part B Supplier - Intensive Cardiac Rehabilitation 0941110886 Receives reassigned benefits from 36 practitioners
Practice locations: Littleton, CO

National Provider Directory

Tax ID family
Avista Adventist Hospital (210 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X
Cardiac Rehabilitation Clinic/Center 261QR0404X Yes

Addresses

Primary practice location

1000 Southpark Dr
Littleton, CO 80120-5654

Mailing address

PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104

Other names

  • Cardiac Rehab at South Denver Cardiology Assoc Other name

Other providers in Littleton, CO

All providers in Littleton, CO · Cardiac Rehabilitation Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.