Fairacres Manor, Inc
Fairacres Manor, Inc is a healthcare organization registered as Skilled Nursing Facility in Greeley, CO, holding Type 2 (organization) NPI 1154300853 since 2006. The authorized official on file is Mary Koretke, Director of Reimbursement.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154300853 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fairacres Manor, Inc |
| Other name | <Unavail> |
| Practice address | 1700 18TH AVE, Greeley, CO, 80631 |
| Phone | 9703533370 |
| Fax | 9703539347 |
| Enumeration date | 2006-01-11 |
| Last updated in NPPES | 2010-02-05 |
Authorized official
| Name | Mary Koretke |
|---|---|
| Title | Director of Reimbursement |
| Phone | 7209746278 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 0576 | CO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05653423 | Medicaid | CO | — |
Copy-ready billing details
Provider: Fairacres Manor, Inc NPI: 1154300853 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1700 18TH AVE, Greeley, CO, 80631
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144474834 | Dawn Conley | Individual | Occupational Therapist | Greeley, CO |
| 1538451059 | Megan Fox | Individual | Speech-Language Pathologist | Greeley, CO |
| 1730461831 | Jacqueline Third | Individual | Geriatric Physical Therapist | Greeley, CO |
| 1598036667 | Jamie Janicke | Individual | Occupational Therapist | Greeley, CO |
| 1578839684 | Tye Cipri | Individual | Occupational Therapy Assistant | Greeley, CO |
| 1467728170 | Nathan Waag | Individual | Physical Therapy Assistant | Greeley, CO |
| 1285985895 | Maria Sandova; | Individual | Occupational Therapy Assistant | Greeley, CO |
| 1538595210 | Kristin Sedillo | Individual | Physical Therapist | Greeley, CO |
Verify this record
Cross-check NPI 1154300853 against the authoritative CMS record: view Fairacres Manor, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Fairacres Manor, Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-02-05.