Organization Active NPI

Pikes Peak Healthcare, Inc.

  • Skilled Nursing Facility
  • Colorado Springs, CO
National Provider Identifier
1114392743
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PIKES PEAK HEALTHCARE, INC.
Doing business as
The Healthcare Resort of Colorado Springs
Practice address
2818 Grand Vista Cir
Colorado Springs, CO 80904-5242
Phone
(949) 487-9500
NPI assigned
Dec 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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) 487-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2818 Grand Vista Cir
Colorado Springs, CO 80904-5242

Mailing address

2818 Grand Vista Cir
Colorado Springs, CO 80904-5242

Other names 1

  • The Healthcare Resort of Colorado Springs 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 CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160616002517 CO Part A Provider - Skilled Nursing Facility 6800187147 Practice locations: Colorado Springs, CO

Skilled nursing facility certification: CCN 065417

Legal name
PIKES PEAK HEALTHCARE, INC.
Doing business as
THE HEALTHCARE RESORT OF COLORADO SPRINGS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 12, 2016
Last certification
Nov 8, 2023
Beds
97
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 14, 2014 in NV
Enrollment address
2818 Grand Vista Cir
Colorado Springs, CO 80904-5242
Nursing home name
THE HEALTHCARE RESORT OF COLORADO SPRINGS
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Healthcare Resort of Colorado SpringsCCN 065417 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 12, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9793.0 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $79,098

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
06D2112748Healthcare Resort of Colorado Springs, the2818 Grand Vista Circle, Colorado Springs, CO 80904Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory

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
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation Indirect Ownership Interest Apr 14, 2014 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Apr 14, 2014
Ami Sato Individual Corporate OfficerTreasurer Pikes Peak Healthcare Sep 9, 2024
Endura Healthcare LLC Organization, San Juan Capistrano, CA LLC Direct Ownership Interest Apr 14, 2014 100%
David Jorgensen Individual Corporate DirectorDirector Pikes Peak Healthcare, Inc Apr 14, 2014
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Kari a Schultz Individual Managing Control - Governing BodyMedical Director Nov 1, 2015
Adp of the SNF Jun 12, 2025
David Dunyon Individual Corporate OfficerPresident Pikes Peak Healthcare, in Jan 1, 2024
Operational/Managerial ControlAdministrator Aug 14, 2017
Managing Control - Governing BodyAdministrator Aug 14, 2017
Adp of the SNF Jun 12, 2025
Soon Burnam Individual Corporate OfficerSecretary Apr 14, 2014
Welltower Colorado Properties LLC Organization, Toledo, OH LLC Adp of the SNF Apr 15, 2014

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 3

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

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": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1114392743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 GRAND VISTA CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809045242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 GRAND VISTA CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809045242",
            "telephone_number": "949-487-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-487-9500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/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": "CSV",
            "contentTypeDescription": "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": "The Healthcare Resort of Colorado Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Healthcare Resort of Colorado Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.