Healthcare Provider Details

I. General information

NPI: 1073402251
Provider Name (Legal Business Name): COLUMBINE COMMONS HEALTH AND REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 MAIN ST
WINDSOR CO
80550-6029
US

IV. Provider business mailing address

947 S 500 E STE 105
AMERICAN FORK UT
84003-3392
US

V. Phone/Fax

Practice location:
  • Phone: 970-449-5540
  • Fax:
Mailing address:
  • Phone: 853-254-3023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: WENDY ANDERSON
Title or Position: CORPORATE BUSINESS DIRECTOR
Credential:
Phone: 801-360-8804