CRESTMOOR CARE CENTER LLC
NPI 1417830357
Skilled Nursing Facility in Denver, CO

Active since July 29, 2025CLIA 06D0679139 · Waiver
895 S MONACO PKWY, DENVER, CO 80224(303) 321-3110(303) 321-1581 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crestmoor Care Center Llc NPPES

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

CRESTMOOR CARE CENTER LLC (NPI 1417830357), doing business as Crestmoor Care Center, is a healthcare organization registered as a skilled nursing facility in Denver, Colorado and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mary Koretke, Director, Cost Reporting, as its authorized official.

NPPES Registry Identity

NPI1417830357
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCRESTMOOR CARE CENTER LLC
Location Address895 S MONACO PKWYDenver, CO 80224-1501
Mailing Address895 S Monaco PkwyDenver, CO 80224-1501 · (303) 321-3110 · Fax (303) 321-1581
Fax(303) 321-1581
Organization SubpartNo
Authorized OfficialMary KoretkeDirector, Cost Reporting · (720) 974-6278
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 17, 2025
NPI 1417830357 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.
895 S MONACO PKWY, Denver, CO 80224

Other Names 1

Doing Business AsCrestmoor Care Center

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 06D0679139

Crestmoor Care Center LLC · Denver, CO
Active · expires Aug 31, 2026
CLIA Number06D0679139
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Gregory Gham
Laboratory Phone(303) 321-3310
Laboratory LocationCrestmoor Care Center LLC895 South Monaco Parkway, Denver, CO 80224
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Psychologist
895 S MONACO PKWY
DENVER, CO 80224
Nurse Practitioner (Family)
895 S MONACO PKWY
DENVER, CO 80224
Skilled Nursing Facility
895 S MONACO PKWY
DENVER, CO 80224
Physical Therapist
895 S MONACO PKWY
DENVER, CO 80224
Skilled Nursing Facility
895 S MONACO PKWY
DENVER, CO 80224
Skilled Nursing Facility
895 S MONACO PKWY
DENVER, CO 80224
Respite Care
895 S MONACO PKWY
DENVER, CO 80224

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 Crestmoor Care Center LLC's NPI number?

The NPI number for Crestmoor Care Center LLC is 1417830357. It was assigned to this organization in the NPPES registry on July 29, 2025. The provider is doing business as Crestmoor Care Center.

Where is Crestmoor Care Center LLC located?

Crestmoor Care Center LLC is located at 895 S Monaco Pkwy, Denver, CO 80224. The listed phone number is (303) 321-3110.

What is Crestmoor Care Center LLC's specialty?

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

Does Crestmoor Care Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0679139) 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 Crestmoor Care Center LLC was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.