NPIMap

Organization Active NPI

Bennett Healthcare LLC

Doing business as Bennett Hills Rehabilitation and Care Center

  • Skilled Nursing Facility
  • Gooding, ID
National Provider Identifier
1306322953
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BENNETT HEALTHCARE LLC
Doing business as
Bennett Hills Rehabilitation and Care Center
Practice address
1220 Montana St
Gooding, ID 83330-1856
Phone
(208) 934-5601
Fax
(208) 934-8154
NPI assigned
Jul 17, 2018
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Ms. Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

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

Addresses

Primary practice location

1220 Montana St
Gooding, ID 83330-1856

Mailing address

1220 Montana St
Gooding, ID 83330-1856
Phone (208) 934-5601

Other names 1

  • Bennett Hills 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 ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181115001727 ID Part A Provider - Skilled Nursing Facility 3870847551 Practice locations: Gooding, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306322953. Details of each certification follow.

Skilled nursing facility certification: CCN 135134

Legal name
BENNETT HEALTHCARE LLC
Doing business as
BENNETT HILLS REHABILITATION AND CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 11, 2008
Last certification
Mar 21, 2025
Beds
80
Ownership / control type
Corporation
Multi-facility organization
Standard Bearer Healthcare, Inc
Organization structure
LLCProprietary
Incorporated
May 18, 2018 in NV
Enrollment address
1220 Montana St
Gooding, ID 83330-1856
Nursing home name
BENNETT HILLS REHABILITATION AND CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bennett Hills Rehabilitation and Care CenterCCN 135134 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 11, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8053.9 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $16,350

Processed by Care Compare on Aug 1, 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
Standard Bearer Healthcare Op LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2022
Isaiah Hawkins Individual Corporate OfficerPresident of Bennett Healthcare LLC Sep 9, 2024
Pennant Healthcare LLC Organization, San Juan Capistrano, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 18, 2018 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 18, 2018 100%
Adp of the SNF Jan 1, 2022
Ami Sato Individual Corporate OfficerTreasurer of Bennett Healthcare LLC Sep 9, 2024
Richard Ord Individual Operational/Managerial ControlAdministrator Oct 1, 2018
Managing Control - Governing BodyAdministrator Oct 1, 2018
Adp of the SNF Apr 9, 2025
Gooding Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Jan 1, 2022
Stephen W Farnsworth Individual Corporate OfficerPennant HC Pres, Bennett HC Manager May 11, 2018
Organization, San Juan Capistrano, CA LLC Adp of the SNF Nov 1, 2018
Soon Burnam Individual Corporate OfficerSecretary of Bennett Healthcare LLC May 18, 2018
Daniel J Allen Individual Operational/Managerial Control Nov 1, 2024
Managing Control - Governing BodyMedical Director Nov 1, 2024
Adp of the SNF Nov 1, 2024

Owners & managing parties with NPI records 1

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

  • Daniel Jude Allen, DO
    • Family Medicine Physician
    • Middleton, ID
    • NPI 1720017247

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

    CMS ownership

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1306322953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MONTANA ST",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833301856",
            "telephone_number": "208-934-5601",
            "fax_number": "208-934-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MONTANA ST",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833301856",
            "telephone_number": "208-934-5601",
            "fax_number": "208-934-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "Bennett Hills Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gooding, ID

Sources for this page

Verify at the official NPI Registry.