Active NPI
Crowley County Nursing Center
- Skilled Nursing Facility
- Ordway, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0667
- Legal business name
- CROWLEY COUNTY NURSING CENTER
- Practice address
- 401 Idaho Ave
Ordway, CO 81063-1328 - Phone
- (719) 267-3561
- Fax
- (719) 267-3441
- NPI assigned
- Nov 11, 2005
- Last updated
- Jan 25, 2021
- 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. Scott A Nelson, NHA
- Title
- Administrator
- Phone
- (719) 267-3561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0667 | CO | Primary |
Addresses
Primary practice location
401 Idaho Ave
Ordway, CO 81063-1328
Mailing address
PO Box 489
Ordway, CO 81063-0489
Phone (719) 267-3561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05653324 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100121000753 | CO | Part A Provider - Skilled Nursing Facility | 1052453578 | Practice locations: Ordway, CO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1932180346. Details of each certification follow.
Skilled nursing facility certification: CCN 065312
- Legal name
- CROWLEY COUNTY NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1993
- Last certification
- Feb 27, 2024
- Beds
- 44
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 1, 1968 in CO
- Enrollment address
- 401 Idaho Ave
Ordway, CO 81063-1328 - Nursing home name
- CROWLEY COUNTY NURSING CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Crowley County Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- May 1, 1993
- Medicare certification status
- Active
- Certified beds
- 44
National Provider Directory
National Provider Directory- Tax ID family
- Crowley County Nursing Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Ordway, CO
- NPI 1568052363
Locations
401 Idaho Ave
Ordway, CO 81063
Phone (719) 267-3561
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Jerry Neely | Corporate Officer | Nov 24, 2004 | |
| Jeremy Summers | Contracted Managing Employee | Jan 5, 2023 | |
| Corporate Officer | Jan 5, 2023 | ||
| Blaine Arbuthnot | Corporate Officer | Nov 24, 2004 |
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Physical Therapy Assistant
- Ordway, CO
- NPI 1144479262
-
- Physical Therapist
- Ordway, CO
- NPI 1932406865
-
- Occupational Therapy Assistant
- Ordway, CO
- NPI 1982850731
-
- Speech-Language Pathologist
- Ordway, CO
- NPI 1922316108
-
- Physical Therapy Assistant
- Ordway, CO
- NPI 1174779649
-
- Speech-Language Pathologist
- Ordway, CO
- NPI 1922247238
-
- Physical Therapy Assistant
- Ordway, CO
- NPI 1114178464
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": "1131667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611532800000",
"number": "1932180346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 489",
"city": "ORDWAY",
"state": "CO",
"postal_code": "810630489",
"telephone_number": "719-267-3561",
"fax_number": "719-267-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 IDAHO AVE",
"city": "ORDWAY",
"state": "CO",
"postal_code": "810631328",
"telephone_number": "719-267-3561",
"fax_number": "719-267-3441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWLEY COUNTY NURSING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-11",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "719-267-3561",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CO",
"license": "0667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05653324",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ordway, CO
- Susan Dianne Casper, PHARM.D.
- Colorado Department of Corrections
- County of Crowley (Crowley County Ambulance Service)
- Tejana Cox, PTA
- Crowley County Nursing Center
- Crowley County School District Re-1-J
- Jerry Wesley Davis, R.PH.
- Eastern Colorado Healthcare Operations
- Lauren Elizabeth Gronemeyer, M.S.
- Jessy Hainbach
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.