NPIMap

Organization Active NPI

Cane Creek Healthcare, Inc.

  • Skilled Nursing Facility
  • Martin, TN
National Provider Identifier
1235964560
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CANE CREEK HEALTHCARE, INC.
Practice address
460 Hannings LN
Martin, TN 38237-3308
Phone
(731) 587-3193
NPI assigned
Sep 5, 2024
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

460 Hannings LN
Martin, TN 38237-3308

Mailing address

460 Hannings LN
Martin, TN 38237-3308

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130002985 TN Part A Provider - Skilled Nursing Facility 8820527153 Practice locations: Martin, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235964560. Details of each certification follow.

Skilled nursing facility certification: CCN 445423

Legal name
CANE CREEK HEALTHCARE, INC.
Doing business as
VANAYER SENIOR LIVING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 30, 2000
Last certification
Jul 28, 2021
Beds
91
Ownership / control type
Individual
Organization structure
CorporationProprietary
Enrollment address
460 Hannings LN
Martin, TN 38237-3308
Nursing home name
VANAYER SENIOR LIVING AND REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vanayer Senior Living and RehabilitationCCN 445423 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Nov 30, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9166.8 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $8,589

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
44D0659388Cane Creek Healthcare, Inc460 Hannings Lane, Martin, TN 38237Certificate of waiverAug 31, 2026

National Provider Directory

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
Tyler Albrechtsen Individual Corporate DirectorDirector of Cane Creek Healthcare Aug 9, 2024
Betty Swindell Individual Operational/Managerial Control Jan 1, 2025
Barry Port Individual Corporate OfficerCeo of the Ensign Group, Inc. Aug 9, 2024
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Aug 9, 2024 100%
Ami Sato Individual Corporate OfficerTreasurer of Cane Creek Healthcare Sep 9, 2024
Brent Thatcher Individual Corporate OfficerPresident of Cane Creek Healthcare Aug 9, 2024
Suzanne D Snapper Individual Corporate OfficerCfo of the Ensign Group, Inc. Aug 9, 2024
Spencer W Burton Individual Corporate OfficerPresident of the Ensign Group, Inc. Aug 9, 2024
Rocky Top Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Aug 9, 2024 100%
Kenneth W Carr Individual Adp of the SNF Jan 8, 2025
Soon Burnam Individual Corporate OfficerSecretary of Cane Creek Healthcare Aug 9, 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 8

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

Practitioners & affiliated clinicians

Practitioners 2

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 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": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1235964560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 HANNINGS LN",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 HANNINGS LN",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373308",
            "telephone_number": "731-587-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANE CREEK HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

Verify at the official NPI Registry.