NPIMap

Organization Active NPI

Steel City Healthcare, Inc.

  • Skilled Nursing Facility
  • Pueblo, CO
National Provider Identifier
1316780604
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STEEL CITY HEALTHCARE, INC.
Practice address
2701 California St
Pueblo, CO 81004-3869
Phone
(719) 561-1300
NPI assigned
Jun 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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 Primary

Addresses

Primary practice location

2701 California St
Pueblo, CO 81004-3869

Mailing address

2701 California St
Pueblo, CO 81004-3869

Other names 1

  • Lakeshore Post Acute and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240920002214 CO Part A Provider - Skilled Nursing Facility 1658812300 Practice locations: Pueblo, CO

Skilled nursing facility certification: CCN 065229

Legal name
STEEL CITY HEALTHCARE, INC.
Doing business as
LAKESHORE POST ACUTE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1986
Last certification
Oct 26, 2023
Beds
106
Ownership / control type
Corporation
Multi-facility organization
Endura
Organization structure
CorporationProprietary
Incorporated
May 24, 2024 in NV
Enrollment address
2701 California St
Pueblo, CO 81004-3869
Nursing home name
LAKESHORE POST ACUTE AND REHABILITATION CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lakeshore Post Acute and Rehabilitation CenterCCN 065229
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10681.1 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
Lakeshore 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 12

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

NameRoleSinceShare
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest May 24, 2024 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Sep 1, 2024
Ami Sato Individual Corporate OfficerTreasurer Steel City Healthcare Sep 9, 2024
Endura Healthcare LLC Organization, San Juan Capistrano, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 24, 2024 100%
Prime Time Healthcare LLC Organization, Elkhorn, NE LLC Operational/Managerial Control Sep 1, 2024
David Jorgensen Individual Corporate DirectorDirector Steel City Healthcare, Inc May 24, 2024
Ann Maloney Individual Operational/Managerial Control Sep 1, 2024
Managing Control - Governing BodyAdministrator Sep 1, 2024
Adp of the SNF Jun 21, 2025
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Vikas Thouti Reddy Individual Operational/Managerial Control Sep 1, 2024
Managing Control - Governing BodyMedical Director Sep 1, 2024
Adp of the SNF Sep 1, 2024
SMV Pueblo LLC Organization, New York, NY LLC Adp of the SNF Sep 1, 2024
David Dunyon Individual Corporate OfficerPresident Steel City Healthcare May 24, 2024
Soon Burnam Individual Corporate OfficerSecretary Steel City Healthcare May 24, 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 28

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

View all 28

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1316780604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CALIFORNIA ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CALIFORNIA ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043869",
            "telephone_number": "719-561-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEEL CITY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Post Acute and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.