Terrace Hill Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TERRACE HILL HEALTHCARE LLC

Doing business as

Greater Southside Health and Rehabilitation

Practice address

5608 SW 9TH St
Des Moines, IA 50315-5003

Phone

(515) 285-3070

Fax

(515) 285-3071

NPI assigned

Apr 24, 2024

Last updated

Sep 11, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Greater Southside Health and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205682960. Details of each certification follow.

• CCN 165175 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165175

Legal name

TERRACE HILL HEALTHCARE LLC

Doing business as

GREATER SOUTHSIDE HEALTH AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1992

Last certification

Jun 10, 2025

Beds

80

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Aug 1, 2024

Organization structure

LLCProprietary

Enrollment address

5608 SW 9TH St
Des Moines, IA 50315-5003

Nursing home name

GREATER SOUTHSIDE HEALTH AND REHABILITATION

Affiliated entity

THE ENSIGN GROUP

Listed as

Greater Southside Health and RehabilitationCCN 165175 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8068.5 residents per day on average

Chain

The Ensign Group342 facilities in the chain

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

6Fines totaling $252,963

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• Michael P O'Conner, DO

  • Internal Medicine Physician
  • Des Moines, IA
  • NPI 1396724167

  Adp of the SNF, Managing Control - Governing Body

  CMS ownership

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.

• Michael P O'Conner, DO

  • Internal Medicine Physician
  • Des Moines, IA
  • NPI 1396724167
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael P O'Conner, DO

  • Internal Medicine Physician
  • Des Moines, IA
  • NPI 1396724167

  Nursing home

  Care Compare affiliation
• Kavita Powaria, MD

  • Family Medicine Physician
  • Des Moines, IA
  • NPI 1942555388

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1205682960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155003",
            "telephone_number": "515-285-3070",
            "fax_number": "515-285-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155003",
            "telephone_number": "515-285-3070",
            "fax_number": "515-285-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE HILL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Southside Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.