Organization Active NPI

Sanderson Lake Healthcare, Inc.

  • Respite Care
  • Lakewood, CO
National Provider Identifier
1063368454
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
SANDERSON LAKE HEALTHCARE, INC.
Doing business as
Edgewater Health and Rehabilitation
Practice address
1655 Eaton St
Lakewood, CO 80214-1628
Phone
(303) 238-5363
Fax
(303) 238-7062
NPI assigned
Mar 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Soon Burnam
Title
Secretary
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

1655 Eaton St
Lakewood, CO 80214-1628

Mailing address

1655 Eaton St
Lakewood, CO 80214-1628
Phone (303) 238-5363

Other names 1

  • Edgewater Health and Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edgewater Health and Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1063368454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 EATON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141628",
            "telephone_number": "303-238-5363",
            "fax_number": "303-238-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 EATON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141628",
            "telephone_number": "303-238-5363",
            "fax_number": "303-238-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERSON LAKE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-08",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewater Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.