NPIMap

Organization Active NPI

Arvada Healthcare, Inc.

Doing business as Arvada Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Arvada, CO
National Provider Identifier
1174760805
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ARVADA HEALTHCARE, INC.
Doing business as
Arvada Care and Rehabilitation Center
Practice address
6121 W 60TH Ave
Arvada, CO 80003-5603
Phone
(303) 420-4550
Fax
(303) 424-3762
NPI assigned
Jan 16, 2009
Last updated
Feb 17, 2021By the provider in NPPES
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
Ms. Soon Burnam
Title
Authorized Agent
Phone
(949) 540-1249

Specialties & licenses 1

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

Addresses

Primary practice location

6121 W 60TH Ave
Arvada, CO 80003-5603

Mailing address

6121 W 60TH Ave
Arvada, CO 80003-5603
Phone (303) 420-4550

Other names 1

  • Arvada Care and Rehabilitation Center 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
O20090304000103 CO Part A Provider - Skilled Nursing Facility 5193881936 Practice locations: Arvada, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174760805. Details of each certification follow.

Skilled nursing facility certification: CCN 065321

Legal name
ARVADA HEALTHCARE, INC.
Doing business as
ARVADA CARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1994
Last certification
Mar 12, 2025
Beds
54
Ownership / control type
Corporation
Multi-facility organization
Endura Healthcare Inc
Most recent change of ownership
Feb 1, 2009
Organization structure
CorporationProprietary
Incorporated
Dec 10, 2008 in NV
Enrollment address
6121 W 60TH Ave
Arvada, CO 80003-5603
Nursing home name
ARVADA CARE AND REHABILITATION CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arvada Care and Rehabilitation CenterCCN 065321 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5446.4 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
06D0686606Arvada Care and Rehabilitation Center6121 West 60TH Ave, Arvada, CO 80003Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Organization, San Juan Capistrano, CA Corporation Adp of the SNF May 30, 2025
Organization, Houston, TX LLC Adp of the SNF May 30, 2025
Barry Port Individual Corporate OfficerManager of Endura Healthcare LLC Feb 1, 2009
Ray Lauritzen Individual Operational/Managerial ControlAdministrator Sep 29, 2016
Managing Control - Governing BodyAdministrator Sep 29, 2016
Adp of the SNF May 30, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Dec 10, 2008 100%
Ami Sato Individual Corporate OfficerTreasurer of Arvada Healthcare, Inc Sep 9, 2024
Endura Healthcare LLC Organization, San Juan Capistrano, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 18, 2014 100%
David Jorgensen Individual Corporate OfficerDirector of Arvada Healthcare, Inc. Jan 1, 2019
Christopher S Horton Individual Managing Control - Governing BodyMedical Director Sep 29, 2016
Adp of the SNF Sep 29, 2016
Organization, San Clemente, CA Adp of the SNF Feb 1, 2009
Organization, San Clemente, CA LLC Adp of the SNF Feb 1, 2009
Organization, San Clemente, CA Corporation Adp of the SNF Feb 1, 2009
David Dunyon Individual Corporate OfficerPresident of Arvada Healthcare, Inc Jan 1, 2024
Soon Burnam Individual Corporate OfficerSecretary of Arvada Healthcare, Inc Dec 10, 2008
Managing Control - Governing BodyAuthorized Official Dec 10, 2008

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 26

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

View all 26

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": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1174760805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 W 60TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800035603",
            "telephone_number": "303-420-4550",
            "fax_number": "303-424-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 W 60TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800035603",
            "telephone_number": "303-420-4550",
            "fax_number": "303-424-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVADA HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "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": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "949-540-1249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "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": "Arvada Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arvada Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.