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

Jackson Creek Assisted Living, LLC

Organization Assisted Living Facility · NPI 1417421025

Jackson Creek Assisted Living, LLC is an Assisted Living Facility in Monument, Colorado. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16601 Jackson Creek Pkwy
Monument, CO 80132
Phone: (719) 725-6060
Fax: (303) 987-0434
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1417421025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Koretke — Director Of Reimbursement · (303) 238-3838
Other names Jackson Creek Senior Living
NPI enumeratedJanuary 16, 2019
Last updated in NPPESJanuary 16, 2019
Mailing address12136 W Bayaud Ave Ste 200, Lakewood, CO 80228-2115

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