Organization Active NPI

Radiant Hills Health Associates LLC

Doing business as North Mountain Medical and Rehabilitation Center

  • Skilled Nursing Facility
  • Phoenix, AZ
National Provider Identifier
1053306811
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
882234MedicaidAZ

Other names 1

  • North Mountain Medical and Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 035087 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 2, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
164156.7 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1031629North Mountain Medical & Rehabilitation Center9155 N 3Rd Street, Phoenix, AZ 85020ComplianceMay 10, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Hemang M Gandhi Individual Operational/Managerial Control Dec 1, 2016
Managing Control - Governing BodyMedical Director Dec 1, 2016
Adp of the SNF Dec 1, 2016
Jason Postl Individual Operational/Managerial ControlAdministrator Jan 2, 2014
Managing Control - Governing BodyAdministrator Jan 2, 2014
Adp of the SNF Jan 2, 2014
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation Indirect Ownership Interest Aug 1, 2004 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Aug 1, 2003
Forrest Peterson Individual Corporate OfficerSole Manager Jan 1, 2025
Valley Health Holdings LLC Organization, San Clemente, CA LLC Adp of the SNF Aug 1, 2004
Bandera Healthcare LLC Organization, San Juan Capistrano, CA LLC Direct Ownership Interest Oct 1, 2006 100%
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Aug 1, 2004
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Aug 1, 2004
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Aug 1, 2004
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Soon Burnam Individual Corporate OfficerSecretary Radiant Hills Health Asso 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.

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.

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

Verify at the official NPI Registry.