NPIMap

Organization Active NPI

Portercare Adventist Health System

Doing business as Adventhealth Avista

  • General Acute Care Hospital
  • Louisville, CO
National Provider Identifier
1891709192
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1032 Issued in CO
Legal business name
PORTERCARE ADVENTIST HEALTH SYSTEM
Doing business as
Adventhealth Avista
Centura Health - Avista Adventist Hospital
Practice address
100 Health Park Dr
Louisville, CO 80027-9583
Phone
(303) 673-1000
NPI assigned
Jul 29, 2006
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Jonathan Erickson
Title
Cfo
Phone
(303) 673-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1032 CO Primary

Addresses

Primary practice location

100 Health Park Dr
Louisville, CO 80027-9583

Mailing address

PO Box 713425
Chicago, IL 60677-4325

Other identifiers 1

IdentifierTypeStateIssuer
05010301MedicaidCO

Other names 2

  • ADVENTHEALTH AVISTA Doing business as
  • Centura Health - Avista Adventist Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH
CONNECT URL https://www.mettles.com/ Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050511000798 CO Part A Provider - Hospital 0941110886 8 other NPIs on this enrollment
Practice locations: Littleton, CO; Westminster, CO; Parker, CO; Louisville, CO; Denver, CO; Castle Rock, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891709192. Details of each certification follow.

Hospital certification: CCN 060103

Legal name
PORTERCARE ADVENTIST HEALTH SYSTEM
Doing business as
ADVENTHEALTH AVISTA
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 14, 1990
Last certification
Feb 28, 2019
Beds
114
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
100 Health Park Dr
Louisville, CO 80027-9583
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Adventhealth AvistaCCN 060103 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Porter Memorial Hospita217 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 31

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

NameRoleSinceShare
Gary Thurber Individual Corporate DirectorDirector Aug 1, 2023
Jeremy Pittman Individual Corporate OfficerSecretary/Treasurer Apr 4, 2024
David Vandevere Individual Corporate DirectorDirector Aug 21, 2025
Brett Spenst Individual Corporate OfficerPresident/Asst. Secretary/Truste Aug 1, 2023
Corporate DirectorPresident/Asst. Secretary/Truste Aug 1, 2023
Mary Ann Littler Individual Corporate Director Aug 1, 2023
Jeffrey Graff Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Lesley Radocy Individual Corporate DirectorDirector Jul 1, 2022
Diane Godfrey Individual Corporate OfficerAssistant Secretary Dec 11, 2025
Karsten Randolph Individual Corporate DirectorTrustee Aug 1, 2023
Jill Mendoza Individual Corporate DirectorEx-Officio Jul 1, 2021
Richard D'Ambrosio Individual Corporate OfficerAssistant Secretary Aug 24, 2023
Andrew D Jahn Individual Corporate OfficerVP/Chairperson Apr 1, 2024
Corporate DirectorTrustee Apr 1, 2024
Marisa Farabaugh Individual Corporate OfficerAssistant Secretary Apr 9, 2026
Michael Saunders Individual Corporate OfficerAssistant Secretary Aug 24, 2023
Lars Houmann Individual Corporate DirectorTrustee Aug 1, 2023
John Spiers Individual Corporate DirectorDirector Jul 1, 2022
Lief a Sorensen Individual Contracted Managing EmployeeChief Executive Officer Feb 8, 2026
Corporate DirectorDirector Feb 8, 2026
Operational/Managerial ControlChief Executive Officer Feb 8, 2026
David a Weis Individual Corporate OfficerVice Chair Jan 1, 2026
Corporate DirectorTrustee Apr 9, 2026
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 1, 2001 100%
Toni Berrios Individual Corporate OfficerAssistant Secretary Aug 24, 2023
Haney Vincent Individual Corporate OfficerAssistant Secretary Dec 9, 2021
Douglas Pytlinski Individual Corporate OfficerAssistant Secretary Apr 9, 2026
Todd a Goodman Individual Corporate OfficerAssistant Secretary Feb 1, 2026
Jonathan L Erickson Individual Contracted Managing EmployeeChief Financial Officer Sep 11, 2023
Corporate OfficerChief Financial Officer Sep 11, 2023
Operational/Managerial ControlChief Financial Officer Sep 11, 2023
David L Huffman Individual Corporate OfficerAssistant Secretary Aug 22, 2024
Geoff Patterson Individual Corporate DirectorDirector Jul 1, 2022
Robert C Foltz Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Lynn Addiscott Individual Corporate OfficerAssistant Secretary Nov 10, 2005
Scott Bustos Individual Corporate DirectorDirector Jul 1, 2023
Karla Nugent Individual Corporate DirectorDirector Jul 1, 2022
Beverly Morgan Individual Corporate OfficerAssistant Secretary Aug 21, 2025

Owners & managing parties with NPI records 1

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

  • Lief Sorensen, MD
    • Anesthesiology Physician
    • Superior, CO
    • NPI 1770639452

    Contracted Managing Employee, Corporate Director, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of LittletonLittleton, CO, CCN 063034 Hospital 5% Or Greater Direct Ownership Interest (32%) Nov 1, 2018

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 85

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

View all 85

Practitioners & affiliated clinicians

Practitioners 71

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.

View all 71

Affiliated clinicians 340

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 340

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1891709192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713425",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606774325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279583",
            "telephone_number": "303-673-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-673-1000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CO",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05010301",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH AVISTA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centura Health - Avista Adventist Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.