NPIMap

Organization Active NPI

Ensign Palm I LLC

  • Skilled Nursing Facility
  • Palm Springs, CA
National Provider Identifier
1295734713
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
250000128 Issued in CA
Legal business name
ENSIGN PALM I LLC
Practice address
2990 E Ramon Rd
Palm Springs, CA 92264-7931
Phone
(760) 323-2638
Fax
(760) 323-1723
NPI assigned
Jul 18, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Owners & managing parties with NPI records 1

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

  • Eric Robert Presser, M.D.
    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Rancho Mirage, CA
    • NPI 1548279755

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

    CMS ownership

Facilities with the same owner 47

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

View all 47

Affiliated clinicians 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Premier Care Center for Palm SpringsCCN 056328
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 26, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9987.5 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $66,463

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100108000352 CA Part A Provider - Skilled Nursing Facility 8022159300 Practice locations: Palm Springs, CA

Skilled nursing facility certification: CCN 056328

Legal name
ENSIGN PALM I LLC
Doing business as
PREMIER CARE CENTER FOR PALM SPRINGS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 26, 1973
Last certification
Nov 18, 2024
Beds
99
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Aug 30, 2001 in NV
Enrollment address
2990 E Ramon Rd
Palm Springs, CA 92264-7931
Nursing home name
PREMIER CARE CENTER FOR PALM SPRINGS
Affiliated entity
THE ENSIGN GROUP

All disclosed owners & managing parties 13

Medicare enrollment files

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

NameRoleSinceShare
Flagstone Healthcare Central LLC Organization, San Juan Capistrano, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 9, 2017 100%
Barry Port Individual Corporate OfficerSole Manager Ensign Palm I LLC Aug 1, 2012
Palm Valley Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Jan 1, 2022
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 15, 2001 100%
Adp of the SNF Jan 1, 2022
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jan 1, 2022
Adam Willits Individual Corporate DirectorSole Manager Ensign Palm I LLC Jan 1, 2022
Twomagnets LLC Organization, Covina, CA LLC Operational/Managerial Control Nov 15, 2001
Organization, San Juan Capistrano, CA LLC Adp of the SNF Nov 15, 2001
Chad Keetch Individual Corporate OfficerSecretary - Ensign Services, Inc. Jun 1, 2014
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2022
Charlie Jenkins Individual Operational/Managerial ControlAdministrator Mar 1, 2014
Managing Control - Governing BodyAdministrator Mar 1, 2014
Adp of the SNF Mar 1, 2014
Eric R Presser Individual Operational/Managerial Control Mar 1, 2015
Managing Control - Governing BodyMedical Director Mar 1, 2015
Adp of the SNF Mar 1, 2015
Soon Burnam Individual Corporate OfficerSecretary Ensign Palm I LLC Oct 1, 2006

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 250000128 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2990 E Ramon Rd
Palm Springs, CA 92264-7931

Mailing address

2990 E Ramon Rd
Palm Springs, CA 92264-7931
Phone (760) 323-2638

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
ZZT18650IMedicaidCA

Other names 1

NPPES NPI Registry
  • Premier Care Center for Palm Springs Doing business as

Electronic endpoints 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2021.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1295734713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 E RAMON RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647931",
            "telephone_number": "760-323-2638",
            "fax_number": "760-323-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 E RAMON RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647931",
            "telephone_number": "760-323-2638",
            "fax_number": "760-323-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSIGN PALM I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "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": "CA",
            "license": "250000128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18650I",
            "state": "CA"
        }
    ],
    "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": "CSV",
            "contentTypeDescription": "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": "Premier Care Center for Palm Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Care Center for Palm Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.