Organization Active NPI

Midland Nampa Healthcare LLC

  • Skilled Nursing Facility
  • Nampa, ID
National Provider Identifier
1083146484
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Sep 14, 2022

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)CodeLicenseStatePrimary
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 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 ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 RehabilitationCCN 135076 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
122106.1 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $8,018

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
13D0521390Meadow View Nursing and Rehabilitation46 N Midland Blvd, Nampa, ID 83651Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Standard Bearer Healthcare Op LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2022
Pennant Healthcare LLC Organization, San Juan Capistrano, CA LLC, For-profit, Owned by another organization or individual Direct Ownership Interest Dec 22, 2021 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit Adp of the SNF Jan 1, 2022
Indirect Ownership Interest Jan 11, 2017 100%
Chase Gunderson Individual Operational/Managerial Control May 1, 2017
Managing Control - Governing BodyAdministrator May 1, 2017
Adp of the SNF May 1, 2017
Midland Nampa Health Holdings LLC Organization, San Juan Capistrano, CA LLC, For-profit Adp of the SNF Jan 1, 2022
Chad Keetch Individual Operational/Managerial Control Mar 1, 2011
Soon Burnam Individual Corporate OfficerSecretary Midland Nampa Healthcare Jan 11, 2017
Operational/Managerial Control Jan 11, 2017
Daniel J Allen Individual Operational/Managerial Control Jan 5, 2017
Managing Control - Governing BodyMedical Director 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.