NPIMap

Organization Active NPI

Colorado Medical Investors, LLC

Doing business as Evergreen Nursing Home

  • Skilled Nursing Facility
  • Alamosa, CO
National Provider Identifier
1952311623
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0572 Issued in CO
Legal business name
COLORADO MEDICAL INVESTORS, LLC
Doing business as
Evergreen Nursing Home
Practice address
1991 Carroll St
Alamosa, CO 81101-2003
Phone
(719) 589-4951
Fax
(719) 589-5651
NPI assigned
Aug 8, 2006
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0572 CO Primary
Respite Care 385H00000X

Addresses

Primary practice location

1991 Carroll St
Alamosa, CO 81101-2003

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other names 1

  • Evergreen Nursing Home Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070115000235 CO Part A Provider - Skilled Nursing Facility 8527032598 Practice locations: Alamosa, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952311623. Details of each certification follow.

Skilled nursing facility certification: CCN 065234

Legal name
COLORADO MEDICAL INVESTORS LLC
Doing business as
EVERGREEN NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1987
Last certification
Aug 29, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Colorado Medical Investors
Most recent change of ownership
Jan 1, 2006
Organization structure
LLCProprietary
Enrollment address
1991 Carroll St
Alamosa, CO 81101-2003
Nursing home name
EVERGREEN NURSING HOME
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Evergreen Nursing HomeCCN 065234 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6046.3 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $20,150

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0705631Evergreen Nursing Home1991 Carroll Street, Alamosa, CO 81101Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Colorado Medical Investors LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Vincent Stack Individual Operational/Managerial Control Sep 22, 2020
Adp of the SNF Mar 7, 2025
Forrest L Preston Individual Adp of the SNF Aug 31, 2000
Direct Ownership Interest Aug 7, 1996 99%
Indirect Ownership Interest May 7, 1996 1%
Terry Henry Individual Corporate OfficerAssistant Treasurer of MGMT. Co. Aug 16, 1999
Todd Fletcher Individual Operational/Managerial Control Dec 13, 2024
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Jan 1, 2006
Direct Ownership Interest May 7, 1996 1%
Aubrey Preston Individual Operational/Managerial Control Dec 13, 2024
Frank Alan Smith Individual Corporate DirectorDirector of Management Company Jun 19, 2025
Joan E Thurmond Individual Corporate OfficerAssist. Secretary of MGMT. Co. Sep 22, 2000
Cindy S Cross Individual Corporate OfficerVP / Assist. Secretary of MGMT. Co. Aug 1, 1996
Mark D. Franco Individual Corporate DirectorDirector of Management Company Sep 12, 2025
Bridger Stierle Individual Operational/Managerial Control Sep 29, 2025
Managing Control - Governing BodyAdministrator Sep 29, 2025
Adp of the SNF Mar 27, 2026
Richard Swanker Individual Corporate OfficerChief Tax Officer of MGMT. Co. Apr 1, 2011
Corporate DirectorDirector of MGMT. Co. Jan 1, 2022
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Aug 1, 1996 100%
Adp of the SNF Feb 21, 2025
Derek Schmidt Individual Operational/Managerial Control Oct 18, 2012
Managing Control - Governing BodyDivision Vice President Oct 18, 2012
Lisa M Lay Individual Corporate OfficerSecretary of MGMT. Co. Feb 9, 2018
Corporate DirectorDirector of MGMT. Co. Apr 24, 2017
Colorado Medical Investors LLC Organization, Cleveland, TN LLC, For-profit Operational/Managerial Control Aug 1, 1996
Adp of the SNF Aug 31, 2000
James Ziegler Individual Operational/Managerial Control Dec 13, 2024
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Aug 31, 2000
Yestly Guttierrez Individual Operational/Managerial Control Oct 2, 2025
Managing Control - Governing BodyDirector of Nursing Oct 2, 2025

Owners & managing parties with NPI records 28

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

View all 28

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
San Luis Care CenterAlamosa, CO, CCN 065239 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 1996
Aug 31, 2000
Canon Lodge Care CenterCanon City, CO, CCN 065217 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 1996
Aug 31, 2000
Heritage Park Care CenterCarbondale, CO, CCN 065237 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jun 24, 2014
Aug 31, 2000

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 193

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

View all 193

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1952311623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 CARROLL ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012003",
            "telephone_number": "719-589-4951",
            "fax_number": "719-589-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO MEDICAL INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0572",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evergreen Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamosa, CO

Sources for this page

Verify at the official NPI Registry.