Active NPI
Radiant Hills Health Associates LLC
Doing business as North Mountain Medical and Rehabilitation Center
- Skilled Nursing Facility
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RADIANT HILLS HEALTH ASSOCIATES LLC
- Doing business as
- North Mountain Medical and Rehabilitation Center
- Practice address
- 9155 N 3Rd St
Phoenix, AZ 85020 - Phone
- (602) 218-9483
- Fax
- (602) 944-8549
- NPI assigned
- Sep 16, 2005
- Last updated
- Feb 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Soon Burnam
- Title
- Treasurer
- Phone
- (949) 540-1249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | AZ | Primary |
Addresses
Primary practice location
9155 N 3Rd St
Phoenix, AZ 85020
Mailing address
9155 N 3Rd St
Phoenix, AZ 85020
Phone (602) 218-9483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 882234 | Medicaid | AZ |
Other names 1
- North Mountain Medical and Rehabilitation Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040709000272 | AZ | Part A Provider - Skilled Nursing Facility | 9739167594 | Practice locations: Phoenix, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1053306811. Details of each certification follow.
Skilled nursing facility certification: CCN 035087
- Legal name
- RADIANT HILLS HEALTH ASSOCIATES LLC
- Doing business as
- NORTH MOUNTAIN MEDICAL & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 2, 1983
- Last certification
- Sep 1, 2023
- Beds
- 164
- Ownership / control type
- Corporation
- Multi-facility organization
- Bandera Healthcare
- Organization structure
- LLC
- Incorporated
- Jun 17, 2004 in NV
- Enrollment address
- 9155 N 3Rd St
Phoenix, AZ 85020-2410 - Nursing home name
- NORTH MOUNTAIN MEDICAL AND REHABILITATION CENTER
- Affiliated entity
- THE ENSIGN GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- North Mountain Medical and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 2, 1983
- Medicare certification status
- Active
- Certified beds
- 164
- Chain
- The Ensign Group
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1031629 | North Mountain Medical & Rehabilitation Center | Compliance | May 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
9155 N 3rd St
Phoenix, AZ 85020
Phone (602) 218-9483
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Hemang M Gandhi | Operational/Managerial Control | Dec 1, 2016 | |
| Managing Control - Governing Body | Dec 1, 2016 | ||
| Adp of the SNF | Dec 1, 2016 | ||
| Jason Postl | Operational/Managerial Control | Jan 2, 2014 | |
| Managing Control - Governing Body | Jan 2, 2014 | ||
| Adp of the SNF | Jan 2, 2014 | ||
| The Ensign Group Inc | Indirect Ownership Interest | Aug 1, 2004 | 100% |
| Ensign Services Inc | Adp of the SNF | Aug 1, 2003 | |
| Forrest Peterson | Corporate Officer | Jan 1, 2025 | |
| Valley Health Holdings LLC | Adp of the SNF | Aug 1, 2004 | |
| Bandera Healthcare LLC | Direct Ownership Interest | Oct 1, 2006 | 100% |
| Ctr Partnership LP | Adp of the SNF | Aug 1, 2004 | |
| Caretrust GP LLC | Adp of the SNF | Aug 1, 2004 | |
| Caretrust Reit Inc | Adp of the SNF | Aug 1, 2004 | |
| Chad Keetch | Corporate Officer | Mar 1, 2011 | |
| Soon Burnam | Corporate Officer | Oct 1, 2006 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1467560565
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1609131499
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154533255
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1467560565
-
- Adult Health Nurse Practitioner
- Phoenix, AZ
- NPI 1376544924
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613433600000",
"number": "1053306811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9155 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85020",
"telephone_number": "602-218-9483",
"fax_number": "602-944-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9155 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85020",
"telephone_number": "602-218-9483",
"fax_number": "602-944-8549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT HILLS HEALTH ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A",
"authorized_official_last_name": "BURNAM",
"authorized_official_first_name": "SOON",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "949-540-1249",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "882234",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113833.3.1066.1",
"affiliationName": "eSolutions Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "North Mountain Medical and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Mountain Medical and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.