Organization Active NPI

Frasier Meadows Manor, Inc.

Doing business as Frasier Meadows Health Care Center

  • Skilled Nursing Facility
  • Boulder, CO
National Provider Identifier
1770574279
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0111 Issued in CO
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05653464MedicaidCO
7100998OtherCOEVERCARE

Other names 1

  • Frasier Meadows Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 065324 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jun 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5446.6 residents per day on average
Penalties (3 years)
3Fines totaling $49,202

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0515222Frasier Meadows Health Care Center4950 Thunderbird Drive, Boulder, CO 80303Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Nikki Lewis Individual 5% Or Greater Direct Ownership InterestCfo Nov 1, 2017
Corporate OfficerCfo Nov 1, 2017 100%
Adp of the SNF Nov 1, 2017
Individual Adp of the SNF Mar 26, 2025
Michelle McParland Individual Corporate DirectorVice President of Health Support SE 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.

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

Verify at the official NPI Registry.