BLUESTEM VILLAGE
NPI 1053956268
Skilled Nursing Facility in La Junta, CO

Active since November 12, 2019CLIA 06D2289969 · Waiver
1 DARLENE DRIVE, LA JUNTA, CO 81050(719) 363-1700(303) 987-0434 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 12, 2024, Nov 12, 2019 (2 updates tracked since 2019).

About Bluestem Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUESTEM VILLAGE (NPI 1053956268) is a healthcare organization registered as a skilled nursing facility in La Junta, Colorado and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Mary Koretke, Director, Cost Reporting, as its authorized official.

NPPES Registry Identity

NPI1053956268
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLA JUNTA HEALTH SERVICE DISTRICT
Location Address1 DARLENE DRIVELa Junta, CO 81050
Mailing Address1 Darlene DriveLa Junta, CO 81050 · (719) 363-1700 · Fax (303) 987-0434
Fax(303) 987-0434
Organization SubpartNo
Authorized OfficialMary KoretkeDirector, Cost Reporting · (720) 974-6278
Enumeration DateNovember 12, 2019
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPI 1053956268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1 DARLENE DRIVE, La Junta, CO 81050

Other Names 1

Doing Business AsBluestem Village

Other Identifiers 1

Medicaid9000238087CO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2289969

La Junta Health Service District Bda Bluestem Village · La Junta, CO
Active · expires Sep 18, 2027
CLIA Number06D2289969
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorCynthia Canfield
Laboratory Phone(719) 363-1700
Laboratory LocationLa Junta Health Service District Bda Bluestem Village1 Darlene Drive, La Junta, CO 81050
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053956268, enumerated as an "organization" on November 12, 2019.

The provider is located at 1 DARLENE DRIVE LA JUNTA, CO 81050 and the phone number is (719) 363-1700.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.