WHEATRIDGE MANOR CARE CENTER
NPI 1124485933
Skilled Nursing Facility in Wheat Ridge, CO

Active since January 25, 2016CLIA 06D0511313 · Waiver
2920 FENTON ST, WHEAT RIDGE, CO 80214(303) 238-0481(303) 233-3775 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wheatridge Manor Care Center NPPES

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

WHEATRIDGE MANOR CARE CENTER (NPI 1124485933) is a healthcare organization registered as a skilled nursing facility in Wheat Ridge, Colorado and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mary Koretke, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1124485933
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name33 SOUTHMOOR PROPERTIES, INC
Location Address2920 FENTON STWheat Ridge, CO 80214-8116
Mailing Address2920 Fenton StWheat Ridge, CO 80214-8116 · (303) 238-0481 · Fax (303) 233-3775
Fax(303) 233-3775
Organization SubpartNo
Authorized OfficialMary KoretkeDirector Of Reimbursement · (720) 974-6278
Enumeration DateJanuary 25, 2016
NPI 1124485933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CO · 020436
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.
2920 FENTON ST, Wheat Ridge, CO 80214

Other Names 1

Doing Business AsWheatridge Manor Care Center

Other Identifiers 2

Medicaid34376020CO
Medicare OSCAR/certification065308

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 06D0511313

Wheatridge Care Center, LLC · Wheat Ridge, CO
Active · expires Aug 31, 2026
CLIA Number06D0511313
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGregory Gham
Laboratory Phone(303) 238-0481
Laboratory LocationWheatridge Care Center, LLC2920 Fenton Street, Wheat Ridge, CO 80214
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2920 FENTON ST
WHEAT RIDGE, CO 80214
Skilled Nursing Facility
2920 FENTON ST
WHEAT RIDGE, CO 80214
Skilled Nursing Facility
2920 FENTON ST
WHEAT RIDGE, CO 80214
Skilled Nursing Facility
2920 FENTON ST
WHEAT RIDGE, CO 80214
Skilled Nursing Facility
2920 FENTON ST
WHEAT RIDGE, CO 80214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 33 Southmoor Properties, Inc's NPI number?

The NPI number for 33 Southmoor Properties, Inc is 1124485933. It was assigned to this organization in the NPPES registry on January 25, 2016. The provider is doing business as Wheatridge Manor Care Center.

Where is 33 Southmoor Properties, Inc located?

33 Southmoor Properties, Inc is located at 2920 Fenton St, Wheat Ridge, CO 80214. The listed phone number is (303) 238-0481.

What is 33 Southmoor Properties, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does 33 Southmoor Properties, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0511313) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 33 Southmoor Properties, Inc was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.