Fountain View Rehabilitation and Nursing, LLC
Organization Active NPI Skilled Nursing Facility · Colorado Springs, CO
NPI 1851136634 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1851136634
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- FOUNTAIN VIEW REHABILITATION AND NURSING, LLC
- Practice address
- 2438 E Fountain Blvd
Colorado Springs, CO 80910-3227 - Phone
- (385) 498-0195
- NPI assigned
- Jun 25, 2024
- Organization subpart
- No
Authorized official
- Name
- Wendy Anderson
- Title
- Corporate Business Office Director
- Phone
- (385) 498-0194
Owners & managing parties with NPI records 1
-
Vikas Thouti Reddy, M.D.
Facilities with the same owner 23
Practitioners 1
-
Ashwini P. Gade, MD
Affiliated clinicians 2
-
Ashwini P. Gade, MD
-
Scott F Sickbert, M.D., L.L.C.
Medicare Care Compare: Nursing home
- Listed as
- Fountain View Rehabilitation and Nursing LLC
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 6, 1983
- Medicare certification status
- Active
- Certified beds
- 90 · 88.2 residents per day on average
- Chain
- The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0517665 | Fountain View Rehabilitation and Nursing LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Skilled nursing facility certification: CCN 065172
- Legal name
- FOUNTAIN VIEW REHABILITATION AND NURSING LLC
- Doing business as
- COTTONWOOD HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 6, 1983
- Last certification
- Sep 19, 2024
- Beds
- 90
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Sep 1, 2024
- Organization structure
- LLC · Proprietary
- Enrollment address
- 2438 E Fountain Blvd
Colorado Springs, CO 80910-3227 - Nursing home name
- FOUNTAIN VIEW REHABILITATION AND NURSING LLC
- Affiliated entity
- THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Holly Swain |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 19.2% |
| Indirect Ownership Interest | Sep 1, 2024 | 19.2% | |
| Jared E Swain |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 20.2% |
| Indirect Ownership Interest | Sep 1, 2024 | 20.2% | |
| David Mahrt |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 0.1% |
| Indirect Ownership Interest | Sep 1, 2024 | 0.1% | |
| Charly Bello Family Limited Partnership |
5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 40% |
| Pickd LLC |
5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 10% |
| Cathy R Hieneman |
Operational/Managerial Control | Sep 1, 2024 | |
| Adp of the SNF | Jan 23, 2026 | ||
| Maze Family Limited Partnership |
5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 50% |
| Vikas Thouti Reddy |
Adp of the SNF | Jan 23, 2026 | |
| Walter E Myers |
5% Or Greater Indirect Ownership Interest |
Sep 1, 2024 | 24.5% |
| Operational/Managerial Control | Sep 1, 2024 | ||
| Indirect Ownership Interest | Sep 1, 2024 | 24.5% | |
| Cottonwood Healthcare LLC |
Operational/Managerial Control | Sep 1, 2024 | |
| Katie Myers |
5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 23.5% |
| Indirect Ownership Interest | Sep 1, 2024 | 23.5% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250718002750 | CO | Part a Provider - Skilled Nursing Facility | 6507372398 | Practice locations: Colorado Springs, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2438 E Fountain Blvd
Colorado Springs, CO 80910-3227
Mailing address
947 S 500 E Ste 105
American Fork, UT 84003-3392
Phone (385) 498-0194
Other providers in Colorado Springs, CO
- Fountain Valley Health Care LLC
- Fountain Valley Health Care LLC
- Fountain Valley School
- Fountain View Health and Rehabilitation Center LLC
- Fountain View Health and Rehabilitation Center LLC
- Janelle Fountas
- Four Feathers Counseling
- Four Feathers Counseling
- Four Points Family Medical Center Inc
- Fourier Audiology and Consulting, PC
All providers in Colorado Springs, CO · Skilled Nursing Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.