NPIMap

Organization Active NPI

Sidewinder Healthcare, Inc.

  • Skilled Nursing Facility
  • Northglenn, CO
National Provider Identifier
1194445114
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SIDEWINDER HEALTHCARE, INC.
Practice address
401 Malley Dr
Northglenn, CO 80233-2024
Phone
(303) 452-4700
Fax
(303) 451-5450
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

401 Malley Dr
Northglenn, CO 80233-2024

Mailing address

401 Malley Dr
Northglenn, CO 80233-2024
Phone (303) 452-4700

Other names 1

  • Malley Transitional Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/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
O20221202000388 CO Part A Provider - Skilled Nursing Facility 0547638124 Practice locations: Northglenn, CO

Skilled nursing facility certification: CCN 065196

Legal name
SIDEWINDER HEALTHCARE, INC.
Doing business as
MALLEY TRANSITIONAL CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 28, 1984
Last certification
Sep 26, 2024
Beds
162
Ownership / control type
Corporation
Multi-facility organization
Ensign Group
Most recent change of ownership
Dec 1, 2022
Organization structure
CorporationProprietary
Enrollment address
401 Malley Dr
Northglenn, CO 80233-2024
Nursing home name
MALLEY TRANSITIONAL CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Malley Transitional Care CenterCCN 065196
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 28, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
162136.6 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $11,180

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Malley Transitional Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Michael Schnabel Individual Operational/Managerial ControlAdministrator Dec 1, 2022
Managing Control - Governing BodyAdministrator Dec 1, 2022
Adp of the SNF Jul 3, 2025
Onshift Inc Organization, Cleveland, OH Corporation Operational/Managerial Control Dec 1, 2022
Joseph Graham Individual Corporate OfficerPresident Sidewinder Healthcare Feb 1, 2024
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 25, 2022 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Apr 25, 2022
Ami Sato Individual Corporate OfficerTreasurer Sidewinder Healthcare Sep 9, 2024
Endura Healthcare LLC Organization, San Juan Capistrano, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 25, 2022 100%
David Jorgensen Individual Corporate DirectorDirector Sidewinder Healthcare, Inc Jun 20, 2019
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Shad Thomas Grubbs Individual Operational/Managerial Control Dec 1, 2022
Managing Control - Governing BodyMedical Director Dec 1, 2022
Adp of the SNF Jul 3, 2025
Soon Burnam Individual Corporate OfficerSecretary Sidewinder Healthcare Aug 25, 2022

Owners & managing parties with NPI records 1

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

  • Shad T Grubbs, MD
    • Geriatric Medicine (Internal Medicine) Physician
    • Brighton, CO
    • NPI 1982651899

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

    CMS ownership

Facilities with the same owner 39

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

View all 39

Practitioners & affiliated clinicians

Practitioners 2

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": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1194445114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MALLEY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802332024",
            "telephone_number": "303-452-4700",
            "fax_number": "303-451-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MALLEY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802332024",
            "telephone_number": "303-452-4700",
            "fax_number": "303-451-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDEWINDER HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "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://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/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": "Malley Transitional Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.