NPIMap

Organization Active NPI

Steelhead Healthcare, Inc.

Doing business as Skyline Transitional Care Center

  • Skilled Nursing Facility
  • Boise, ID
National Provider Identifier
1083286595
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STEELHEAD HEALTHCARE, INC.
Doing business as
Skyline Transitional Care Center
Practice address
1001 S Hilton St
Boise, ID 83705-1925
Phone
(208) 345-4464
Fax
(208) 345-2998
NPI assigned
Jul 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 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 Primary

Addresses

Primary practice location

1001 S Hilton St
Boise, ID 83705-1925

Mailing address

1001 S Hilton St
Boise, ID 83705-1925
Phone (208) 345-4464

Other names 1

  • Skyline Transitional Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:5291/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
O20211001000416 ID Part A Provider - Skilled Nursing Facility 4688072879 Practice locations: Boise, ID

Skilled nursing facility certification: CCN 135077

Legal name
STEELHEAD HEALTHCARE INC
Doing business as
SKYLINE TRANSITIONAL CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1979
Last certification
Mar 7, 2025
Beds
111
Ownership / control type
Corporation
Multi-facility organization
Ensign Group- Pennant Idaho
Organization structure
CorporationProprietary
Enrollment address
1001 S Hilton St
Boise, ID 83705-1925
Nursing home name
SKYLINE TRANSITIONAL CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Skyline Transitional Care CenterCCN 135077 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11172.9 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
13D0522283Skyline Transitional Care Center1001 S Hilton St, Boise, ID 83705Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1001 S Hilton St
Boise, ID 83705
Phone (208) 345-4464

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Isaiah Hawkins Individual Corporate OfficerPresident Steelhead Healthcare, Inc Sep 9, 2024
Pennant Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Jul 9, 2021 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jul 9, 2021 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jul 9, 2021
Ami Sato Individual Corporate OfficerTreasurer Steelhead Healthcare, Inc Sep 9, 2024
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Stephen W Farnsworth Individual Corporate OfficerPresident Jul 9, 2021
Corporate DirectorDirector Steelhead Healthcare, Inc. Jan 1, 2023
Scott Piggott Individual Operational/Managerial ControlAdministrator Oct 1, 2021
Managing Control - Governing BodyAdministrator Oct 1, 2021
Adp of the SNF Jul 3, 2025
Soon Burnam Individual Corporate OfficerSecretary Steelhead Healthcare, Inc Jul 9, 2021
Daniel J Allen Individual Operational/Managerial Control Feb 7, 2022
Managing Control - Governing BodyMedical Director Feb 7, 2022
Adp of the SNF Jul 3, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Daniel Jude Allen, DO
    • Family Medicine Physician
    • Middleton, ID
    • NPI 1720017247

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

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": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1083286595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S HILTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051925",
            "telephone_number": "208-345-4464",
            "fax_number": "208-345-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S HILTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051925",
            "telephone_number": "208-345-4464",
            "fax_number": "208-345-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEELHEAD HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:5291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "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": "Skyline Transitional Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.