Organization Active NPI

Allen Creek Healthcare, Inc.

  • Skilled Nursing Facility
  • Marysville, WA
National Provider Identifier
1275978520
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALLEN CREEK HEALTHCARE, INC.
Practice address
5925 47TH Ave NE
Marysville, WA 98270-5152
Phone
(360) 659-1259
Fax
(360) 653-3156
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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 WA Primary

Addresses

Primary practice location

5925 47TH Ave NE
Marysville, WA 98270-5152

Mailing address

5925 47TH Ave NE
Marysville, WA 98270-5152
Phone (360) 659-1259

Other names 1

  • Mountain View Rehabilitation and Care Center 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 WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130715000602 WA Part A Provider - Skilled Nursing Facility 1658511670 Practice locations: Marysville, WA

Skilled nursing facility certification: CCN 505407

Legal name
ALLEN CREEK HEALTHCARE, INC.
Doing business as
MOUNTAIN VIEW REHABILITATION AND CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1992
Last certification
Jan 9, 2025
Beds
82
Ownership / control type
Corporation
Multi-facility organization
Ensign-Pennant Washington
Organization structure
CorporationProprietary
Enrollment address
5925 47TH Ave NE
Marysville, WA 98270-5152
Nursing home name
MOUNTAIN VIEW REHABILITATION AND CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mountain View Rehabilitation and Care CenterCCN 505407
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8283.8 residents per day on average
Chain
The Ensign Group342 facilities in the chain

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
50D2073302Mountain View Rehabilitation and Care Center5925 47TH Ave NE, Marysville, WA 98270Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Tulalip Bay Health Holdings LLC Organization, San Clemente, CA LLC Adp of the SNF Dec 1, 2013
Pennant Healthcare LLC Organization, San Juan Capistrano, CA LLC Direct Ownership Interest Dec 1, 2013 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 30, 2006 100%
Brandon P Bodily Individual Operational/Managerial ControlAdministrator of Allen Creek Hea Jul 1, 2013
Managing Control - Governing BodyAdministrator Jul 1, 2013
Adp of the SNF Jul 10, 2025
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jul 1, 2013
Nathan Holmes Individual Corporate OfficerPresident Allen Creek Healthcare Jan 1, 2025
Ami Sato Individual Corporate OfficerTreasurer Allen Creek Healthcare Sep 9, 2024
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Dec 1, 2013
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Dec 1, 2013
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Dec 1, 2013
Nishita Bhumkar Individual Operational/Managerial Control Aug 1, 2022
Managing Control - Governing BodyMedical Director Aug 1, 2022
Adp of the SNF Jul 10, 2025
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Stephen W Farnsworth Individual Corporate OfficerDirector Allen Creek Healthcare Jan 1, 2024
Soon Burnam Individual Corporate OfficerSecretary Allen Creek Healthcare Apr 17, 2013
Adp of the SNF Jul 10, 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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1275978520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 47TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705152",
            "telephone_number": "360-659-1259",
            "fax_number": "360-653-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 47TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705152",
            "telephone_number": "360-659-1259",
            "fax_number": "360-653-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN CREEK HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "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": "WA",
            "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": "Mountain View Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain View Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

Verify at the official NPI Registry.