Active NPI
MSV Fitzsimons, LLC
Doing business as Aviva at Fitzsimons
- Skilled Nursing Facility
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MSV FITZSIMONS, LLC
- Doing business as
- Aviva at Fitzsimons
- Practice address
- 13525 E 23Rd Ave
Aurora, CO 80045 - Phone
- (303) 344-8282
- NPI assigned
- Aug 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Koretke
- Title
- Director of Reimbursement
- Phone
- (303) 238-3838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
13525 E 23Rd Ave
Aurora, CO 80045
Mailing address
720 S Colorado Blvd Ste 211
Glendale, CO 80246-1923
Phone (303) 238-3838
Other names 1
- Aviva at Fitzsimons
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181012000659 | CO | Part A Provider - Skilled Nursing Facility | 9537411905 | Practice locations: Aurora, CO |
Skilled nursing facility certification: CCN 065430
- Legal name
- MSV FITZSIMONS, LLC
- Doing business as
- AVIVA AT FITZSIMONS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Dec 27, 2018
- Last certification
- Oct 8, 2024
- Beds
- 100
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Vivage Beecan
- Organization structure
- Partnership
- Enrollment address
- 13525 E 23Rd Avenue
Aurora, CO 80045-7450 - Nursing home name
- AVIVA AT FITZSIMONS
- Affiliated entity
- VIVAGE SENIOR LIVING
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Aviva at Fitzsimons
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 27, 2018
- Medicare certification status
- Active
- Certified beds
- 100
- Chain
- Vivage Senior Living
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Aviva at Fitzsimons
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the 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.
| Name | Role | Since | Share |
|---|---|---|---|
| John D Brammeier | 5% Or Greater Direct Ownership Interest | Aug 22, 2018 | 6.25% |
| Corporate Officer | Dec 31, 2011 | 18% | |
| Mary E Koretke | W-2 Managing Employee | Oct 1, 2018 | |
| Jay H Moskowitz | 5% Or Greater Direct Ownership Interest | Aug 22, 2018 | 18.75% |
| Corporate Officer | Dec 31, 2011 | 82% | |
| Aurora Holdco, LLC | Other | Dec 8, 2020 | 100% |
| Moc Aurora LLC | 5% Or Greater Direct Ownership Interest | Jan 31, 2021 | 37.5% |
| QP Health Care Services LLC | Operational/Managerial Control | Aug 22, 2018 | 100% |
| KCP Aurora, LLC | 5% Or Greater Direct Ownership Interest | Jan 31, 2021 | 37.5% |
| MFF Management, LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | |
| Ryan Burmood | W-2 Managing Employee | Jun 1, 2020 | 100% |
| Fernando Braghin | Corporate Officer | Jan 31, 2021 | |
| Michael Flanagan | 5% Or Greater Direct Ownership Interest | Jan 31, 2018 | 100% |
Facilities with the same owner 13
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Wheatridge Manor Nursing Home
- Skilled Nursing Facility
- Wheat Ridge, CO
- NPI 1902803620
QP Health Care Services LLC
-
dba Valley View Health Care Center
- Skilled Nursing Facility
- Canon City, CO
- NPI 1679552301
QP Health Care Services LLC
-
dba Clear Creek Care Center
- Skilled Nursing Facility
- Westminster, CO
- NPI 1538160445
QP Health Care Services LLC
-
- Skilled Nursing Facility
- Olathe, CO
- NPI 1437138153
QP Health Care Services LLC
-
- Inpatient Hospice
- Holly, CO
- NPI 1285632372
QP Health Care Services LLC
-
dba Bluestem Village
- Skilled Nursing Facility
- La Junta, CO
- NPI 1053956268
QP Health Care Services LLC
-
dba The Green House Homes at Mirasol
- Skilled Nursing Facility
- Loveland, CO
- NPI 1598176828
QP Health Care Services LLC
-
dba North Shore Health & Rehab Facility
- Skilled Nursing Facility
- Loveland, CO
- NPI 1790782639
QP Health Care Services LLC
-
dba Cambridge Care Center
- Skilled Nursing Facility
- Lakewood, CO
- NPI 1043203631
QP Health Care Services LLC
-
dba Denver North Care Center
- Skilled Nursing Facility
- Denver, CO
- NPI 1013915537
QP Health Care Services LLC
-
dba Uptown Health Care Center
- Skilled Nursing Facility
- Denver, CO
- NPI 1306844857
QP Health Care Services LLC
-
dba Regent Park Nursing and Rehabilitation
- Skilled Nursing Facility
- Holyoke, CO
- NPI 1700416849
QP Health Care Services LLC
Practitioners & affiliated clinicians
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": "1533081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1891273892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S COLORADO BLVD STE 211",
"city": "GLENDALE",
"state": "CO",
"postal_code": "802461923",
"telephone_number": "303-238-3838",
"fax_number": "303-987-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13525 E 23RD AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "80045",
"telephone_number": "303-344-8282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MSV FITZSIMONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-01",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "KORETKE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
"authorized_official_telephone_number": "303-238-3838"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aviva at Fitzsimons",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.