NPIMap

Organization Active NPI

Greenfield Management Services, Inc.

Doing business as Columbine Care Center East

  • Skilled Nursing Facility
  • Fort Collins, CO
National Provider Identifier
1881743102
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0100 Issued in CO
Legal business name
GREENFIELD MANAGEMENT SERVICES, INC.
Doing business as
Columbine Care Center East
Practice address
4824 S Lemay Ave
Fort Collins, CO 80525-9402
Phone
(970) 482-1584
NPI assigned
Jan 9, 2007
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mrs. Deb R. Prentiss
Title
Accounts Receivable Manager
Phone
(970) 482-0198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0100 CO Primary

Addresses

Primary practice location

4824 S Lemay Ave
Fort Collins, CO 80525-9402

Mailing address

4824 S Lemay Ave
Fort Collins, CO 80525-9402
Phone (970) 482-1584

Other identifiers 1

IdentifierTypeStateIssuer
05653290MedicaidCO

Other names 1

  • Columbine Care Center East Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080208000381 CO Part A Provider - Skilled Nursing Facility 5193717486 Practice locations: Fort Collins, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881743102. Details of each certification follow.

Skilled nursing facility certification: CCN 065142

Legal name
GREENFIELD MANAGEMENT SERVICES, INC.
Doing business as
LEMAY AVENUE HEALTH & REHAB FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1977
Last certification
Nov 16, 2023
Beds
130
Ownership / control type
Corporation
Multi-facility organization
Columbine Health Systems
Organization structure
OtherProprietary
Incorporated
Dec 6, 1971 in CO
Enrollment address
4824S Lemay Ave
Fort Collins, CO 80525-9402

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lemay Avenue Health and Rehab LLCCCN 065142 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130125.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
John Robert Wilson Individual 5% Or Greater Direct Ownership Interest Dec 6, 1971 100%
Corporate Director Dec 6, 1971 100%
Lauren J Fasciano-Sager Individual Corporate OfficerSecretary Nov 21, 2012
Operational/Managerial Control Aug 13, 2013
Barry Kent Fancher Individual Corporate OfficerTreasurer Jul 1, 1999 100%
Columbine Management Services Inc Organization, Fort Collins, CO Operational/Managerial Control Dec 1, 1993

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1881743102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259402",
            "telephone_number": "970-482-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259402",
            "telephone_number": "970-482-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "PRENTISS",
        "authorized_official_first_name": "DEB",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "970-482-0198",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05653290",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbine Care Center East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.