NORTH STAR REHABILITATION AND CARE COMMUNITY
NPI 1548629066
Skilled Nursing Facility in Denver, CO

NPI Status: Active since February 11, 2016

Contact Information

3185 W ARKANSAS AVE
DENVER, CO
ZIP 80219
Phone: (303) 922-1169
Fax: (303) 934-0220

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 06D0513675
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 04-14-2027

About NORTH STAR REHABILITATION AND CARE COMMUNITY

This page provides the complete NPI Profile along with additional information for North Star Rehabilitation And Care Community, a provider established in Denver, Colorado operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1548629066 assigned on February 2016. The practitioner's primary taxonomy code is 314000000X with license number 020413 (CO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as North Star Rehabilitation And Care Community. The authorized official of this NPI record is Mary Koretke (Director Of Reimbursement)

NPI
1548629066
Provider Legal Name
PONDEROSA CARE COMMUNITIES A, LLC
Other Organization Name
NORTH STAR REHABILITATION AND CARE COMMUNITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3185 W ARKANSAS AVE DENVER, CO 80219
Location Phone
(303) 922-1169
Location Fax
(303) 934-0220
Mailing Address
3185 W ARKANSAS AVE DENVER, CO 80219
Mailing Phone
(303) 922-1169
Mailing Fax
(303) 934-0220
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2016
Last Update Date
02-11-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
020413
License State
CO
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY KORETKE

Authorized Official Title
DIRECTOR OF REIMBURSEMENT
Authorized Official Phone
(720) 974-6278

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
065274MEDICARE OSCAR/CERTIFICATION (06) 
16176367MEDICAID (05)CO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D0513675
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
April 15, 2025
Certificate Expiration Date
April 14, 2027
Laboratory Director
MR. CHRISTOPHER HORTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Star Rehabilitation And Care Community to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NORTH STAR REHABILITATION AND CARE COMMUNITY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548629066
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
258812218012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 2 + 1 + 8 + 0 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1548629066 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770561755PONDEROSA CARE COMMUNITIES A, LLC
Organization
Skilled Nursing Facility3185 W ARKANSAS AVE
DENVER, CO 80219
(303) 922-1169
1619167475 CAROL JO EMMONS CPTA
Individual
Physical Therapy Assistant3185 W ARKANSAS AVE
DENVER, CO 80219
(303) 922-1169
1639882517NORTH STAR HEALTHCARE LLC
Organization
Skilled Nursing Facility3185 W ARKANSAS AVE
DENVER, CO 80219
(303) 922-1169

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548629066, enumerated in the NPI registry as an "organization" on February 11, 2016

The provider is located at 3185 W Arkansas Ave Denver, Co 80219 and the phone number is (303) 922-1169

This medical organization specializes in 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 make sure your health plan is currently accepted.

The provider's CLIA number is 06D0513675 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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