NPIMap

Organization Active NPI

Christian Living Neighborhoods

  • Skilled Nursing Facility
  • Centennial, CO
National Provider Identifier
1871578039
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHRISTIAN LIVING NEIGHBORHOODS
Practice address
5000 E Arapahoe Rd
Centennial, CO 80122-2302
Phone
(303) 779-5000
Fax
(303) 779-1570
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Mr. Bryon Childs
Title
Chief Financial Officer
Phone
(720) 974-3504

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0271 CO
Skilled Nursing Facility 314000000X CO Primary

Addresses

Primary practice location

5000 E Arapahoe Rd
Centennial, CO 80122-2302

Mailing address

9570 S Kingston CT Ste 300
Englewood, CO 80112-6004
Phone (720) 974-3555

Other identifiers 1

IdentifierTypeStateIssuer
37976231MedicaidCO

Other names 1

  • Christian Living Communities The Suites at Someren Glen 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
O20070220000277 CO Part A Provider - Skilled Nursing Facility 6507968773 Practice locations: Centennial, CO

Skilled nursing facility certification: CCN 065345

Legal name
CHRISTIAN LIVING NEIGHBORHOODS
Doing business as
THE SUITES AT SOMEREN GLEN CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1996
Last certification
Apr 25, 2024
Beds
109
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Christian Living Communities
Most recent change of ownership
Jan 1, 2007
Organization structure
CorporationNon-profit
Enrollment address
5000 East Arapahoe Road
Centennial, CO 80122-2302
Nursing home name
SUITES AT SOMEREN GLEN CARE CENTER, THE

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Suites at Someren Glen Care Center, theCCN 065345
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10984.9 residents per day on average
Penalties (3 years)
2Fines totaling $36,446

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
06D0696207Suites at Someren Glen5000 E Arapahoe Road, Centennial, CO 80122Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Christian Living Neighborhoods6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Individual Adp of the SNF May 8, 2023
Individual Adp of the SNF Aug 1, 2025
Bryon Childs Individual Corporate OfficerChief Financial Officer May 28, 2007 100%
Trustee of the SNF May 28, 2007
Adp of the SNF May 28, 2007
Jill Vitale-Aussem Individual Corporate OfficerChief Executive Officer Nov 15, 2020 100%
Trustee of the SNF Nov 15, 2020
Adp of the SNF Nov 15, 2020
Traci Fralick Individual Corporate DirectorExective Assistant III Nov 5, 2018
Trustee of the SNF Nov 5, 2018
Adp of the SNF Nov 5, 2018
Christian Living Neighborhoods Organization, Englewood, CO Corporation, Non-profit Operational/Managerial Control Mar 1, 1996
Adp of the SNF Mar 27, 2025
Direct Ownership Interest Mar 1, 1996 100%
Jayne Keller Individual Corporate OfficerChief Operating Officer Apr 1, 2021 100%
Trustee of the SNF Apr 1, 2021
Adp of the SNF Apr 1, 2021
Jan Franken Individual Operational/Managerial Control Nov 1, 2018
Adp of the SNF Nov 1, 2018

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Suites at Clermont Park Care CenterDenver, CO, CCN 065344 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 May 9, 1972
Mar 26, 2025
May 9, 1972
The Suites at Holly Creek Care CenterCentennial, CO, CCN 065395 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Sep 1, 2011
Mar 26, 2025
Sep 1, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1871578039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 S KINGSTON CT STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801126004",
            "telephone_number": "720-974-3555",
            "fax_number": "720-974-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E ARAPAHOE RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222302",
            "telephone_number": "303-779-5000",
            "fax_number": "303-779-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN LIVING NEIGHBORHOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "BRYON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "720-974-3504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "0271",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37976231",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Living Communities The Suites at Someren Glen Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Christian Living Communities The Suites at Someren Glen Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.