NPIMap

Organization Active NPI

Sunrise Mountain Healthcare LLC

Doing business as AZ - Rio Vista Post Acute and Rehabilitation

  • Skilled Nursing Facility
  • Peoria, AZ
National Provider Identifier
1245797968
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUNRISE MOUNTAIN HEALTHCARE LLC
Doing business as
AZ - Rio Vista Post Acute and Rehabilitation
Practice address
10323 W Olive Ave
Peoria, AZ 85345-7345
Phone
(623) 875-0100
Fax
(602) 457-7069
NPI assigned
Feb 28, 2019
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Soon Burnam
Title
Authorized Official
Phone
(949) 487-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

10323 W Olive Ave
Peoria, AZ 85345-7345

Mailing address

10323 W Olive Ave
Peoria, AZ 85345-7345
Phone (623) 875-0100

Other names 1

  • AZ - Rio Vista Post Acute and Rehabilitation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190509001810 AZ Part A Provider - Skilled Nursing Facility 0749523942 Practice locations: Peoria, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245797968. Details of each certification follow.

Skilled nursing facility certification: CCN 035183

Legal name
SUNRISE MOUNTAIN HEALTHCARE LLC
Doing business as
AZ - RIO VISTA POST ACUTE AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 5, 1988
Last certification
May 26, 2023
Beds
150
Ownership / control type
Corporation
Multi-facility organization
Ensign Group
Organization structure
LLCProprietary
Incorporated
Feb 28, 2019 in NV
Enrollment address
10323 W Olive Ave
Peoria, AZ 85345-7345
Nursing home name
AZ - RIO VISTA POST ACUTE AND REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Az - Rio Vista Post Acute and RehabilitationCCN 035183 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 5, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
150139.6 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Az - Rio Vista Post Acute and Rehabilitation2 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 11

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

NameRoleSinceShare
William Nassour Individual Operational/Managerial Control Jun 1, 2020
Managing Control - Governing BodyMedical Director Jun 1, 2020
Adp of the SNF Jun 1, 2020
Barry Port Individual Corporate OfficerSee Below Aug 1, 2012
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 28, 2019 100%
Adp of the SNF Jan 1, 2022
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation, For-profit Adp of the SNF Feb 28, 2019
Forrest Peterson Individual Corporate OfficerSole Manager of Sunrise Mountain He Sep 1, 2024
Bandera Healthcare LLC Organization, San Juan Capistrano, CA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 28, 2019 100%
West Olive Health Holdings LLC Organization, San Juan Capistrano, CA LLC, For-profit Adp of the SNF Jan 1, 2022
Organization, San Juan Capistrano, CA LLC Adp of the SNF May 1, 2019
Chad Keetch Individual Corporate OfficerSee Below Jun 1, 2014
Megan Majors Individual Operational/Managerial ControlAdministrator Apr 28, 2021
Managing Control - Governing BodyAdministrator Apr 28, 2021
Adp of the SNF Apr 12, 2025
Soon Burnam Individual Corporate OfficerSecretary Sunrise Mountain Healthca Feb 28, 2019

Owners & managing parties with NPI records 1

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

  • William Nassour, MD
    • Internal Medicine Physician
    • Goodyear, AZ
    • NPI 1104131820

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

    CMS ownership

Facilities with the same owner 31

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

View all 31

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 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": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1245797968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10323 W OLIVE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457345",
            "telephone_number": "623-875-0100",
            "fax_number": "623-875-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10323 W OLIVE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457345",
            "telephone_number": "623-875-0100",
            "fax_number": "602-457-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MOUNTAIN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-487-9500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "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": "AZ - Rio Vista Post Acute and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.