Active NPI
W III, Inc.
Doing business as Westlake Care Community
- Skilled Nursing Facility
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0942
- Legal business name
- W III, INC.
- Doing business as
- Westlake Care Community
- Practice address
- 1655 Eaton St
Lakewood, CO 80214-1628 - Phone
- (303) 238-5363
- Fax
- (303) 238-7062
- NPI assigned
- Feb 6, 2007
- 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
- Mr. Mark Bedinger
- Title
- President/Ceo
- Phone
- (303) 421-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0942 | CO | Primary |
Addresses
Primary practice location
1655 Eaton St
Lakewood, CO 80214-1628
Mailing address
1655 Eaton St
Lakewood, CO 80214-1628
Phone (303) 238-5363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05655410 | Medicaid | CO |
Other names 1
- Westlake Care Community
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070509000642 | CO | Part A Provider - Skilled Nursing Facility | 9739285602 | Practice locations: Lakewood, CO |
Skilled nursing facility certification: CCN 065171
- Legal name
- W III INC
- Doing business as
- WESTLAKE CARE COMMUNITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 31, 1981
- Last certification
- Feb 14, 2024
- Beds
- 67
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Jan 1, 2026
- Organization structure
- Corporation
- Incorporated
- Nov 15, 1982 in CO
- Enrollment address
- 1655 Eaton St
Lakewood, CO 80214-1628
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Edgewater Health and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 31, 1981
- Medicare certification status
- Active
- Certified beds
- 67
National Provider Directory
National Provider Directory- Tax ID family
- W III Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1655 Eaton St
Lakewood, CO 80214
Phone (303) 238-0481
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Colavria Hospitality, Inc | Operational/Managerial Control | Jan 1, 2011 | |
| Adp of the SNF | Feb 5, 2025 | ||
| Indirect Ownership Interest | Jan 1, 2011 | 100% | |
| Gregory J Gahm | Adp of the SNF | Oct 1, 2012 | |
| Hannah Duerst | Operational/Managerial Control | Jul 23, 2023 | |
| Adp of the SNF | Jul 23, 2023 | ||
| Mark Bedinger | 5% Or Greater Direct Ownership Interest | Jan 1, 2012 | 100% |
| Operational/Managerial Control | Dec 12, 2024 | ||
| Adp of the SNF | Dec 12, 2024 | ||
| Direct Ownership Interest | Jan 1, 2012 | 4.99% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Rehabilitation Center at Sandalwood
- Skilled Nursing Facility
- Wheat Ridge, CO
- NPI 1669216552
Colavria Hospitality, Inc
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": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627257600000",
"number": "1922147784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 EATON ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802141628",
"telephone_number": "303-238-5363",
"fax_number": "303-238-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 EATON ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802141628",
"telephone_number": "303-238-5363",
"fax_number": "303-238-7062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W III, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A",
"authorized_official_last_name": "BEDINGER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "303-421-3600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CO",
"license": "0942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05655410",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Westlake Care Community",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Westlake Care Community",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.