Organization Active NPI

Baptist Home Association of the Rocky Mountains Inc

Doing business as Mountain Vista Health Center, Inc

  • Skilled Nursing Facility
  • Denver, CO
National Provider Identifier
1831187632
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS INC
Doing business as
Mountain Vista Health Center, Inc
Practice address
4800 Tabor St
Denver, CO 80033-2112
Phone
(303) 421-4161
Fax
(303) 424-6152
NPI assigned
Oct 6, 2005
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Christina R Kotz
Title
Director of Reimbursement
Phone
(402) 639-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CO Primary

Addresses

Primary practice location

4800 Tabor St
Denver, CO 80033-2112

Mailing address

4800 Tabor St
Denver, CO 80033-2112
Phone (303) 421-4161

Other identifiers 1

IdentifierTypeStateIssuer
05650155MedicaidCO

Other names 1

  • Mountain Vista Health Center, Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070216000643 CO Part A Provider - Skilled Nursing Facility 0941302202 Practice locations: Wheat Ridge, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831187632. Details of each certification follow.

Skilled nursing facility certification: CCN 065015

Legal name
BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS INC
Doing business as
MOUTAIN VISTA HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Mar 20, 2024
Beds
168
Ownership / control type
Nonprofit Corporation
Multi-facility organization
American Baptist Homes of the Midwest
Organization structure
CorporationNon-profit
Incorporated
Mar 22, 1949 in MN
Enrollment address
4800 Tabor Street
Mountain Vista Health Center
Wheat Ridge, CO 80033-2112
Nursing home name
MOUNTAIN VISTA HEALTH CENTER
Affiliated entity
AMERICAN BAPTIST HOMES OF THE MIDWEST

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mountain Vista Health CenterCCN 065015 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
16883.8 residents per day on average
Chain
American Baptist Homes of the Midwest6 facilities in the chain
Penalties (3 years)
3Fines totaling $39,227

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
06D0511277Mountain Vista Health Center Inc4800 Tabor Street, Wheat Ridge, CO 80033Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Ashley Elizabeth Ford Individual Corporate Director Jan 1, 2018
Bruce Whitaker Individual Corporate DirectorBoard Member May 1, 2012
Baptist Home Association of the Rocky Mountains Inc Organization, Eden Prairie, MN Corporation, Non-profit Operational/Managerial Control Jan 1, 2020 100%
Ruth Ann Neiman Individual Corporate Officer Jan 1, 2021
Steven C Vanostram Individual Corporate DirectorBoard Member May 1, 2012
Bruce K Van Der Beek Individual Corporate Officer Jan 1, 2021
James Lee Johnson Individual Corporate DirectorBoard Member Jan 1, 2018
Roger Allan Davidson Individual Corporate DirectorBoard Member Jan 1, 2018
Marshall Peters Individual Corporate DirectorBoard Member May 1, 2012
Ryan Allen Individual Corporate DirectorBoard Member May 1, 2012
Anne S Wagoner Ford Individual Corporate DirectorBoard Member Jan 1, 2018
Dorothy Johnson Individual Corporate DirectorBoard Member Jan 1, 2018
Stephanie Nicole Vaughn-Gray Individual Corporate Officer Jan 1, 2021
George Edward Killian Individual Corporate DirectorBoard Member Jan 1, 2018
Phillip Hanson Individual Corporate DirectorBoard of Directors Member May 1, 2012
Lars P Johnson Individual Corporate OfficerCfo Jun 5, 2023
Andrea Blatnik Individual W-2 Managing EmployeeVP of Human Resources Jan 1, 2022

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1831187632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 TABOR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800332112",
            "telephone_number": "303-421-4161",
            "fax_number": "303-424-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 TABOR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800332112",
            "telephone_number": "303-421-4161",
            "fax_number": "303-424-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "KOTZ",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "402-639-3008"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05650155",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Vista Health Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.