Centre Avenue Health & Rehab Facility LLC
NPI 1194719872ActiveOrganization· Skilled Nursing Facility· Fort Collins, CO
Skilled Nursing Facility in Fort Collins, Colorado, registered in NPPES in September 2005. The authorized official on file is Barry Kent Fancher, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1194719872 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2005 |
| Last updated in NPPES | Aug 19, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 0434 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CO) |
|---|
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