Active NPI
Frasier Meadows Manor, Inc.
Doing business as Frasier Meadows Health Care Center
- Skilled Nursing Facility
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0111
- Legal business name
- FRASIER MEADOWS MANOR, INC.
- Doing business as
- Frasier Meadows Health Care Center
- Practice address
- 4950 Thunderbird Dr
Boulder, CO 80303-3835 - Phone
- (303) 499-8412
- Fax
- (303) 499-0681
- NPI assigned
- Nov 2, 2005
- Last updated
- Sep 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick D. McAteer
- Title
- Cfo
- Phone
- (720) 562-4302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0111 | CO | Primary |
Addresses
Primary practice location
4950 Thunderbird Dr
Boulder, CO 80303-3835
Mailing address
350 Ponca PL
Boulder, CO 80303-3802
Phone (303) 499-4888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05653464 | Medicaid | CO | |
| 7100998 | Other | CO | EVERCARE |
Other names 1
- Frasier Meadows Health Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060713000155 | CO | Part A Provider - Skilled Nursing Facility | 4688687718 | Practice locations: Boulder, CO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1770574279. Details of each certification follow.
Skilled nursing facility certification: CCN 065324
- Legal name
- FRASIER MEADOWS MANOR, INC.
- Doing business as
- FRASIER MEADOWS HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1994
- Last certification
- Apr 16, 2024
- Beds
- 54
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 16, 1964 in CO
- Enrollment address
- 4950 Thunderbird Dr
Boulder, CO 80303-3835 - Nursing home name
- FRASIER MEADOWS HEALTH CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Frasier Meadows Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Jun 1, 1994
- Medicare certification status
- Active
- Certified beds
- 54
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0515222 | Frasier Meadows Health Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Nikki Lewis | 5% Or Greater Direct Ownership Interest | Nov 1, 2017 | |
| Corporate Officer | Nov 1, 2017 | 100% | |
| Adp of the SNF | Nov 1, 2017 | ||
| Adp of the SNF | Mar 26, 2025 | ||
| Michelle McParland | Corporate Director | Apr 7, 2013 | 100% |
| Operational/Managerial Control | Apr 7, 2013 | ||
| Adp of the SNF | Apr 7, 2013 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Boulder, CO
- NPI 1851408926
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Boulder, CO
- NPI 1922015973
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188864000000",
"number": "1770574279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PONCA PL",
"city": "BOULDER",
"state": "CO",
"postal_code": "803033802",
"telephone_number": "303-499-4888",
"fax_number": "303-499-9645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 THUNDERBIRD DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803033835",
"telephone_number": "303-499-8412",
"fax_number": "303-499-0681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRASIER MEADOWS MANOR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2007-09-04",
"status": "A",
"authorized_official_last_name": "MCATEER",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "720-562-4302",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CO",
"license": "0111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05653464",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "7100998",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Frasier Meadows Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.