NPIMap

Organization Active NPI

Fountain View Rehabilitation and Nursing, LLC

  • Skilled Nursing Facility
  • Colorado Springs, CO
National Provider Identifier
1851136634
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 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
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Wendy Anderson
Title
Corporate Business Office Director
Phone
(385) 498-0194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250718002750 CO Part A Provider - Skilled Nursing Facility 6507372398 Practice locations: Colorado Springs, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851136634. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fountain View Rehabilitation and Nursing LLCCCN 065172 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
9088.2 residents per day on average
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers19 facilities in the chain

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
06D0517665Fountain View Rehabilitation and Nursing LLC2438 East Fountain Blvd, Colorado Springs, CO 80910Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Holly Swain Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 19.2%
Indirect Ownership Interest Sep 1, 2024 19.2%
Jared E Swain Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 20.2%
Indirect Ownership Interest Sep 1, 2024 20.2%
David Mahrt Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 0.1%
Indirect Ownership Interest Sep 1, 2024 0.1%
Charly Bello Family Limited Partnership Organization, American Fork, UT Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2024 40%
Pickd LLC Organization, Lehi, UT LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2024 10%
Cathy R Hieneman Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Jan 23, 2026
Maze Family Limited Partnership Organization, Provo, UT Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2024 50%
Vikas Thouti Reddy Individual Adp of the SNF Jan 23, 2026
Walter E Myers Individual 5% Or Greater Indirect Ownership InterestChief Operating Officer Sep 1, 2024 24.5%
Operational/Managerial Control Sep 1, 2024
Indirect Ownership Interest Sep 1, 2024 24.5%
Cottonwood Healthcare LLC Organization, American Fork, UT LLC Operational/Managerial Control Sep 1, 2024
Katie Myers Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 23.5%
Indirect Ownership Interest Sep 1, 2024 23.5%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1851136634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S 500 E STE 105",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033392",
            "telephone_number": "385-498-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 E FOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103227",
            "telephone_number": "385-498-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VIEW REHABILITATION AND NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CORPORATE BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "385-498-0194"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.