NPIMap

Organization Active NPI

Korsin Healthcare LLC

Doing business as Polaris Transitional Care

  • Skilled Nursing Facility
  • Anchorage, AK
National Provider Identifier
1124831961
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KORSIN HEALTHCARE LLC
Doing business as
Polaris Transitional Care
Practice address
910 Compassion Cir
Anchorage, AK 99504-1645
Phone
(907) 212-9200
Fax
(907) 212-0280
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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) 616-6596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

910 Compassion Cir
Anchorage, AK 99504-1645

Mailing address

910 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9200

Other names 1

  • Polaris Transitional Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250326003463 AK Part A Provider - Skilled Nursing Facility 0244753697 Practice locations: Anchorage, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124831961. Details of each certification follow.

Skilled nursing facility certification: CCN 025018

Legal name
KORSIN HEALTHCARE LLC
Doing business as
POLARIS TRANSITIONAL CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1983
Last certification
Nov 1, 2024
Beds
50
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
910 Compassion Cir
Anchorage, AK 99504-1645
Nursing home name
POLARIS TRANSITIONAL CARE
Affiliated entity
THE ENSIGN GROUP

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Polaris Transitional CareCCN 025018 · 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
Sep 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5046.3 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $109,382

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
02D0640487Polaris Transitional Care910 Compassion Circle, Anchorage, AK 99504Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Korsin Healthcare LLC2 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.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Flagstone Healthcare Central LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Sep 12, 2024 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Sep 12, 2024 100%
Adam Willits Individual Corporate OfficerPresident of Flagstone Healthcare C Sep 12, 2024
Corporate DirectorManager of Korsin Healthcare LLC Sep 12, 2024
Daniel Tieva Individual Managing Control - Governing BodyMedical Director Mar 1, 2025
Adp of the SNF Mar 1, 2025
Neil Hancox Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Feb 11, 2025
Jared Cullifer Individual Corporate OfficerPresident OT Korsin Healthcare LLC Sep 12, 2024
Soon Burnam Individual Corporate OfficerSecretary Sep 12, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1124831961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 COMPASSION CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041645",
            "telephone_number": "907-212-9200",
            "fax_number": "907-212-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COMPASSION CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041645",
            "telephone_number": "907-212-9200",
            "fax_number": "907-212-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORSIN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-616-6596"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polaris Transitional Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.