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WOODLAKE LEGACY SENIOR LIVING
NPI 1790595460
Assisted Living Facility in Lakewood, CO

Active since January 13, 2025CLIA 06D0965999 · Waiver
12791 W ALAMEDA PKWY, LAKEWOOD, CO 80228(303) 237-5700(323) 902-6000 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Woodlake Legacy Senior Living NPPES

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

WOODLAKE LEGACY SENIOR LIVING (NPI 1790595460) is a healthcare organization registered as an assisted living facility in Lakewood, Colorado and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists Steven Atlas, Manager, as its authorized official.

NPPES Registry Identity

NPI1790595460
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKEWOOD CV OPERATIONS
Location Address12791 W ALAMEDA PKWYLakewood, CO 80228-2838
Mailing Address12791 W Alameda PkwyLakewood, CO 80228-2838 · (303) 237-5700 · Fax (323) 902-6000
Phone(303) 237-5700
Fax(323) 902-6000
Organization SubpartNo
Authorized OfficialSteven AtlasManager · (323) 475-1800
Enumeration DateJanuary 13, 2025
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1790595460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
12791 W ALAMEDA PKWY, Lakewood, CO 80228
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Other Names 2

Doing Business AsWoodlake Legacy Senior Living
Doing Business AsWoodlake Estates Senior Living

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 06D0965999

Woodlake Legacy Senior Living · Lakewood, CO
Active · expires Oct 24, 2026
CLIA Number06D0965999
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorDr. Nora A. Kral
Laboratory Phone(303) 237-5700
Laboratory LocationWoodlake Legacy Senior Living12791 W Alameda Parkway, Lakewood, CO 80228
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 14

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

KATELYN BURNS D.P.T.
Physical Therapist
12791 W ALAMEDA PKWY
LAKEWOOD, CO 80228
Jefferson County (303) 552-5954
SARAH ALLEN OTR/L
Occupational Therapist
12791 W ALAMEDA PKWY
LAKEWOOD, CO 80228
Jefferson County (303) 988-0820
MEGAN PLACKO OTR/L
Occupational Therapist
12791 W ALAMEDA PKWY
LAKEWOOD, CO 80228
Jefferson County (303) 237-5700
MELODY AUFDEMBERGE SLP
Speech-Language Pathologist
12791 W ALAMEDA PKWY
LAKEWOOD, CO 80228
Jefferson County (303) 529-6945
GENGREENMOUNTAIN LLC
Assisted Living Facility
12791 W ALAMEDA PKWY
LAKEWOOD, CO 80228
Jefferson County (503) 652-0750
MS. BEVERLY A FISCHER COTA
Occupational Therapy Assistant
12791 W ALAMEDA PKWY
LAKEWOOD, CO 80228
Jefferson County (303) 988-0828
JACALYN MICHELLE RAEHL FNP-C
Nurse Practitioner (Family)
12791 W ALAMEDA PKWY
LAKEWOOD, CO 80228
Jefferson County (303) 968-6062
MRS. JULIE ANN KOORNNEEF PT
Physical Therapist
12791 W ALAMEDA PKWY
LAKEWOOD, CO 80228
Jefferson County (303) 237-5700

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 Lakewood Cv Operations's NPI number?

The NPI number for Lakewood Cv Operations is 1790595460. It was assigned to this organization in the NPPES registry on January 13, 2025. The provider is doing business as Woodlake Legacy Senior Living and Woodlake Estates Senior Living.

Where is Lakewood Cv Operations located?

Lakewood Cv Operations is located at 12791 W Alameda Pkwy, Lakewood, CO 80228. The listed phone number is (303) 237-5700.

What is Lakewood Cv Operations's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Lakewood Cv Operations hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0965999) is associated with this NPI, valid through October 24, 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 Lakewood Cv Operations was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.