Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of Colorado

Organization Skilled Nursing Facility · NPI 1114085875

State of Colorado is a Skilled Nursing Facility in Monte Vista, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006

Practice location Address checks out

3749 Sherman Ave
Monte Vista, CO 81144-9403
Phone: (719) 852-5118
Fax: (719) 852-3881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 2023 (CO)

Record details

NPI number1114085875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mindy Montague — Administrator · (719) 852-5118
Other names Colorado Veterans Community Living Center Homelake
NPI enumeratedDecember 5, 2006
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021
Mailing addressPo Box 97, Homelake, CO 81135-0097

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Monte Vista