Conifer Care Communities a, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020460 Issued in CO

Legal business name

CONIFER CARE COMMUNITIES A, LLC

Practice address

4686 E Asbury Cir
Denver, CO 80222-4723

Phone

(303) 756-1566

Fax

(303) 756-5261

NPI assigned

Feb 11, 2016

Organization subpart

No

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

(720) 974-6278

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amberwood Court Rehabilitation and Care Community Doing business as

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461974400000",
    "number": "1992164412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4686 E ASBURY CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224723",
            "telephone_number": "303-756-1566",
            "fax_number": "303-756-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 E ASBURY CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224723",
            "telephone_number": "303-756-1566",
            "fax_number": "303-756-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONIFER CARE COMMUNITIES A, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-04-30",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "020460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16382528",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amberwood Court Rehabilitation and Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Confluence Psychiatry and TMS, PLLC
• Robert G Congdon, MD
• Indigo Conger, LMFT
• Kimber-Lynne Conger, MD
• Conifer Care Communities a, LLC
• Conifer Care Communities B, LLC
• Conifer Care Communities B, LLC
• Karen Conklin-Johnson, LPC
• Emily Anne Conklin
• Jacob Russell Conklin, M.S., NCC, LPCC

• Skilled Nursing Facility in Denver, CO
• Providers in Denver, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.