NPIMap

Organization Active NPI

Uchealth Broomfield Hospital

  • Rehabilitation Hospital Unit
  • Broomfield, CO
National Provider Identifier
1770048217
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
UCHEALTH BROOMFIELD HOSPITAL
Practice address
11820 Destination Dr
Broomfield, CO 80021-2518
Phone
(303) 464-4713
NPI assigned
Feb 8, 2019
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UCHEALTH BROOMFIELD HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Julie Nickell
Title
Cfo
Phone
(303) 464-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

11820 Destination Dr
Broomfield, CO 80021-2518

Mailing address

7901 E Lowry Blvd
F402 3Rd Floor
Denver, CO 80230-6510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190313000018 CO Part A Provider - Hospital 4880993476 Practice locations: Broomfield, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770048217. Details of each certification follow.

Hospital certification: CCN 06T129

Legal name
UCHEALTH BROOMFIELD HOSPITAL
Doing business as
UCHEALTH
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2018 in CO
Enrollment address
11820 Destination Dr
Broomfield, CO 80021-2518
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Broomfield HospitalCCN 06T129 · All quality measures
Ownership
For profit
Certified
Jul 1, 2019

National Provider Directory

National Provider Directory
Tax ID family
Uchealth Broomfield Hospital2 organizations share this tax ID, including this one
Part of
Uchealth Broomfield Hospital

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 23

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

NameRoleSinceShare
David C Osborn Individual Corporate DirectorBoard Member Uchealth Apr 1, 2018
Theresa K Pena Individual Corporate DirectorDirector Oct 13, 2021
John P Stathis Individual Corporate DirectorBoard Member Sep 1, 2020
John Waters Individual Corporate Director Feb 19, 2024
Karen Stuart Individual Corporate DirectorDirector Aug 3, 2021
Greg Ludlow Individual Corporate DirectorBoard Member Sep 1, 2020
Colleen Simpson Individual Corporate Director Feb 19, 2024
Donald M Elliman Individual Corporate DirectorBoard Member Uchealth Apr 1, 2018
Laura Steele Individual Corporate DirectorUchealth Board Member Apr 1, 2018
Steve Hess Individual Corporate DirectorBoard Member Jan 19, 2017
Julie Nickell Individual Corporate OfficerCfo May 20, 2024
W-2 Managing Employee May 20, 2024
Richard L Monfort Individual Corporate DirectorUchealth Board Member Apr 1, 2018
Uchealth Partners LLC Organization, Aurora, CO LLC 5% Or Greater Direct Ownership Interest Jun 15, 2016 100%
Todd N Hofheins Individual Corporate OfficerCfo Jun 23, 2025
W-2 Managing EmployeeCfo Jun 3, 2025
University of Colorado Health Organization, Aurora, CO Corporation, Non-profit, Chain home office Operational/Managerial Control Dec 1, 2017
Ryan C Rohman Individual Corporate Officer Apr 5, 2023
W-2 Managing Employee Apr 5, 2023
Todd Whitsitt Individual Corporate DirectorBoard Member Uchealth Apr 1, 2018
Michael Long Individual Corporate DirectorBoard Member Uchealth Feb 26, 2019
Raymond T Baker Individual Corporate DirectorBoard Member Uchealth Apr 1, 2018
John Sampson Individual Corporate Director Jul 1, 2024
Daniel Stroh Individual Corporate DirectorBoard Member Sep 1, 2020
Elizabeth B Concordia Individual Corporate OfficerPresident and Ceo Uchealth Dec 1, 2017
April D Jones Individual Corporate DirectorBoard Member Oct 27, 2020

Owners & managing parties with NPI records 3

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

Facilities with the same owner 19

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

View all 19

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1770048217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 E LOWRY BLVD",
            "address_2": "F402 3RD FLOOR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 DESTINATION DR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800212518",
            "telephone_number": "303-464-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCHEALTH BROOMFIELD HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCHEALTH BROOMFIELD HOSPITAL",
        "enumeration_date": "2019-02-08",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "NICKELL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-464-4500"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.