Organization Active NPI

Canfield River Healthcare LLC

  • Skilled Nursing Facility
  • Oskaloosa, IA
National Provider Identifier
1205629136
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CANFIELD RIVER HEALTHCARE LLC
Practice address
1514 High Ave W
Oskaloosa, IA 52577-1944
Phone
(641) 673-7032
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 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) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1514 High Ave W
Oskaloosa, IA 52577-1944

Mailing address

1514 High Ave W
Oskaloosa, IA 52577-1944

Other names 1

  • Crystal Heights Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250904001667 IA Part A Provider - Skilled Nursing Facility 3678075231 Practice locations: Oskaloosa, IA

Skilled nursing facility certification: CCN 165570

Legal name
CANFIELD RIVER HEALTHCARE LLC
Doing business as
CRYSTAL HEIGHTS CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 2006
Last certification
Aug 8, 2024
Beds
72
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
1514 High Ave W
Oskaloosa, IA 52577-1944
Nursing home name
CRYSTAL HEIGHTS CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Crystal Heights Care CenterCCN 165570
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7266.5 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $10,489
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Narrows Peak Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Aug 1, 2025
David E North Individual Operational/Managerial Control Aug 1, 2025
Managing Control - Governing BodyMedical Director Aug 1, 2025
Adp of the SNF Jul 24, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation Indirect Ownership Interest May 21, 2025 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF May 21, 2025
Gateway Healthcare LLC Organization, San Juan Capistrano, CA LLC Direct Ownership Interest May 21, 2025 100%
Debra K Koenig Individual Operational/Managerial Control Aug 1, 2025
Managing Control - Governing BodyAdministrator Aug 1, 2025
Adp of the SNF Jul 24, 2025
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Aug 1, 2025
Soon Burnam Individual Operational/Managerial Control May 21, 2025
Managing Control - Governing BodySecretary May 21, 2025

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

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": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1205629136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 HIGH AVE W",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525771944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 HIGH AVE W",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525771944",
            "telephone_number": "641-673-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANFIELD RIVER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Heights Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oskaloosa, IA

Sources for this page

Verify at the official NPI Registry.