BROOMFIELD SKILLED NURSING & REHABILITATION CENTER
NPI 1376540583
Skilled Nursing Facility in Broomfield, CO

Active since July 01, 2005CLIA 06D2052066 · Waiver
12975 SHERIDAN BLVD, BROOMFIELD, CO 80020(303) 785-5800(303) 785-5801 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2017, Sep 12, 2017, Aug 24, 2017 (3 updates tracked since 2017).

About Broomfield Skilled Nursing & Rehabilitation Center NPPES

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

BROOMFIELD SKILLED NURSING & REHABILITATION CENTER (NPI 1376540583) is a healthcare organization registered as a skilled nursing facility in Broomfield, Colorado and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Glenn Lefkovitz, President, as its authorized official.

NPPES Registry Identity

NPI1376540583
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC
Location Address12975 SHERIDAN BLVDBroomfield, CO 80020-1477
Mailing Address12975 Sheridan BlvdBroomfield, CO 80020-1477 · (303) 785-5800 · Fax (303) 785-5801
Fax(303) 785-5801
Organization SubpartNo
Authorized OfficialGlenn LefkovitzPresident · (847) 412-8791
Enumeration DateJuly 1, 2005
Last NPPES UpdateSeptember 20, 20173 updates tracked since enumeration
NPI 1376540583 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 · 0030
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.
12975 SHERIDAN BLVD, Broomfield, CO 80020

Other Names 1

Doing Business AsBroomfield Skilled Nursing & Rehabilitation Center

Other Identifiers 2

Medicare OSCAR/certification065379CO
Medicaid37605216CO

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 06D2052066

Broomfield Skilled Nursing & Rehabilitation Center · Broomfield, CO
Active · expires Jan 3, 2027
CLIA Number06D2052066
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorStephanie Van Dyke
Laboratory Phone(303) 785-5800
Laboratory LocationBroomfield Skilled Nursing & Rehabilitation Center12975 Sheridan Blvd, Broomfield, CO 80020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Physical Therapist
12975 SHERIDAN BLVD
BROOMFIELD, CO 80020
Physical Therapy Assistant
12975 SHERIDAN BLVD
BROOMFIELD, CO 80020
Occupational Therapy Assistant
12975 SHERIDAN BLVD
BROOMFIELD, CO 80020
Occupational Therapist
12975 SHERIDAN BLVD
BROOMFIELD, CO 80020
Occupational Therapy Assistant
12975 SHERIDAN BLVD
BROOMFIELD, CO 80020
Occupational Therapy Assistant
12975 SHERIDAN BLVD
BROOMFIELD, CO 80020
Speech-Language Pathologist
12975 SHERIDAN BLVD
BROOMFIELD, CO 80020
Speech-Language Pathologist
12975 SHERIDAN BLVD
BROOMFIELD, CO 80020

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 Broomfield Skilled Nursing And Rehabilitation Center, LLC's NPI number?

The NPI number for Broomfield Skilled Nursing And Rehabilitation Center, LLC is 1376540583. It was assigned to this organization in the NPPES registry on July 1, 2005. The provider is doing business as Broomfield Skilled Nursing & Rehabilitation Center.

Where is Broomfield Skilled Nursing And Rehabilitation Center, LLC located?

Broomfield Skilled Nursing And Rehabilitation Center, LLC is located at 12975 Sheridan Blvd, Broomfield, CO 80020. The listed phone number is (303) 785-5800.

What is Broomfield Skilled Nursing And Rehabilitation Center, LLC's specialty?

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

Does Broomfield Skilled Nursing And Rehabilitation Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2052066) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Broomfield Skilled Nursing And Rehabilitation Center, LLC was last updated on September 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.