Active NPI
Midland Nampa Healthcare LLC
- Skilled Nursing Facility
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MIDLAND NAMPA HEALTHCARE LLC
- Doing business as
- Meadow View Nursing and Rehabilitation
- Practice address
- 46 N Midland Blvd
Nampa, ID 83651-2145 - Phone
- (208) 466-7803
- Fax
- (208) 466-7898
- NPI assigned
- Apr 3, 2017
- 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
- Soon Burnam
- Title
- Treasurer
- Phone
- (949) 540-1249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | ID | Primary |
Addresses
Primary practice location
46 N Midland Blvd
Nampa, ID 83651-2145
Mailing address
46 N Midland Blvd
Nampa, ID 83651-2145
Phone (208) 466-7803
Other names 1
- Meadow View Nursing and Rehabilitation
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 ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170915000057 | ID | Part A Provider - Skilled Nursing Facility | 0840564829 | Practice locations: Nampa, ID |
Skilled nursing facility certification: CCN 135076
- Legal name
- MIDLAND NAMPA HEALTHCARE LLC
- Doing business as
- MEADOW VIEW NURSING AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1979
- Last certification
- Aug 9, 2024
- Beds
- 122
- Ownership / control type
- Corporation
- Multi-facility organization
- The Ensign Group
- Organization structure
- LLC
- Enrollment address
- 46 N Midland Blvd
Nampa, ID 83651-2145 - Nursing home name
- MEADOW VIEW NURSING AND REHABILITATION
- Affiliated entity
- THE ENSIGN GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Meadow View Nursing and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1979
- Medicare certification status
- Active
- Certified beds
- 122
- Chain
- The Ensign Group
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 13D0521390 | Meadow View Nursing and Rehabilitation | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Standard Bearer Healthcare Op LP | Adp of the SNF | Jan 1, 2022 | |
| Pennant Healthcare LLC | Direct Ownership Interest | Dec 22, 2021 | 100% |
| The Ensign Group Inc | Adp of the SNF | Jan 1, 2022 | |
| Indirect Ownership Interest | Jan 11, 2017 | 100% | |
| Chase Gunderson | Operational/Managerial Control | May 1, 2017 | |
| Managing Control - Governing Body | May 1, 2017 | ||
| Adp of the SNF | May 1, 2017 | ||
| Midland Nampa Health Holdings LLC | Adp of the SNF | Jan 1, 2022 | |
| Chad Keetch | Operational/Managerial Control | Mar 1, 2011 | |
| Soon Burnam | Corporate Officer | Jan 11, 2017 | |
| Operational/Managerial Control | Jan 11, 2017 | ||
| Daniel J Allen | Operational/Managerial Control | Jan 5, 2017 | |
| Managing Control - Governing Body | Jan 5, 2017 | ||
| Adp of the SNF | Jan 5, 2017 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Middleton, ID
- NPI 1720017247
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Middleton, ID
- NPI 1720017247
Affiliated clinicians 1
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": "1491177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663113600000",
"number": "1083146484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 N MIDLAND BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836512145",
"telephone_number": "208-466-7803",
"fax_number": "208-466-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 N MIDLAND BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836512145",
"telephone_number": "208-466-7803",
"fax_number": "208-466-7898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDLAND NAMPA HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-03",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"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"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"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": "Meadow View Nursing and Rehabilitation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Meadow View Nursing and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.