Jackson Creek Assisted Living, LLC
NPI 1417421025 · Assisted Living Facility · Monument, CO
Jackson Creek Assisted Living, LLC is a Assisted Living Facility organization in Monument, CO (NPI 1417421025).
Provider details
- NPI number
- 1417421025
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Koretke, Director of Reimbursement(303) 238-3838
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jackson Creek Senior Living
Registry dates
- Enumerated
- 2019-01-16
- Last updated
- 2019-01-16
Frequently asked questions
- What is Jackson Creek Assisted Living, LLC's NPI number?
- Jackson Creek Assisted Living, LLC's National Provider Identifier (NPI) is 1417421025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Creek Assisted Living, LLC?
- Jackson Creek Assisted Living, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Jackson Creek Assisted Living, LLC located?
- Jackson Creek Assisted Living, LLC's practice location on file with NPPES is 16601 Jackson Creek Parkway, Monument, CO 80132.
- What is Jackson Creek Assisted Living, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Creek Assisted Living, LLC is (719) 725-6060.
- Who is the authorized official for Jackson Creek Assisted Living, LLC?
- The authorized official listed on Jackson Creek Assisted Living, LLC's NPPES record is Mary Koretke, Director of Reimbursement. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Creek Assisted Living, LLC's NPI active?
- Yes — Jackson Creek Assisted Living, LLC's NPI (1417421025) is active in the NPPES registry as of the last update on 2019-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.