Organization Active NPI

Cottontail Creek Healthcare, Inc.

Doing business as Riverbend Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Loveland, CO
National Provider Identifier
1205679594
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COTTONTAIL CREEK HEALTHCARE, INC.
Doing business as
Riverbend Health and Rehabilitation Center
Practice address
821 Duffield CT
Loveland, CO 80537-5228
Phone
(970) 669-0345
NPI assigned
Jun 14, 2024
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

821 Duffield CT
Loveland, CO 80537-5228

Mailing address

821 Duffield CT
Loveland, CO 80537-5228

Other names 1

  • Riverbend Health and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250313001360 CO Part A Provider - Skilled Nursing Facility 9537680020 Practice locations: Loveland, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205679594. Details of each certification follow.

Skilled nursing facility certification: CCN 065165

Legal name
COTTONTAIL CREEK HEALTHCARE INC
Doing business as
RIVERBEND HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1982
Last certification
Jun 27, 2024
Beds
100
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ensign Group
Organization structure
CorporationProprietary
Incorporated
May 24, 2024 in NV
Enrollment address
821 Duffield CT
Loveland, CO 80537-5228
Nursing home name
RIVERBEND HEALTH AND REHABILITATION CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Riverbend Health and Rehabilitation CenterCCN 065165 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10081.7 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Cottontail Creek Healthcare Inc2 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 8

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

NameRoleSinceShare
Jameel R Chohan Individual Managing Control - Governing BodyMedical Director Sep 1, 2024
Adp of the SNF Sep 1, 2024
Joseph Graham Individual Corporate OfficerPresident of Cottontail Creek Healt May 24, 2024
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest May 24, 2024 100%
Ami Sato Individual Corporate OfficerTreasurer of Cottontail Creek Healt Sep 9, 2024
Endura Healthcare LLC Organization, San Juan Capistrano, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 24, 2024 100%
David Jorgensen Individual Corporate OfficerPresident of Endura Healthcare LLC May 24, 2024
Corporate DirectorDirector of Cottontail Creek Health May 24, 2024
Courtney Deckman Individual Operational/Managerial Control Sep 1, 2024
Managing Control - Governing BodyAdministrator Sep 1, 2024
Adp of the SNF Mar 6, 2025
Soon Burnam Individual Corporate OfficerSecretary of Cottontail Creek Healt May 24, 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 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": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1205679594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 DUFFIELD CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 DUFFIELD CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375228",
            "telephone_number": "970-669-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONTAIL CREEK HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "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": [],
    "other_names": [
        {
            "organization_name": "Riverbend Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.