North Mountain Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-2637 Issued in AZ

Legal business name

NORTH MOUNTAIN HEALTHCARE LLC

Practice address

11411 N 19TH Ave
Phoenix, AZ 85029-3642

Phone

(602) 256-7500

Fax

(602) 943-7697

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Addresses

Other names 1

• Coronado Care Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Skilled nursing facility certification: CCN 035132

Legal name

NORTH MOUNTAIN HEALTHCARE LLC

Doing business as

CORONADO HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 5, 1986

Last certification

Dec 21, 2023

Beds

191

Ownership / control type

Individual

Organization structure

LLCProprietary

Incorporated

Jul 28, 2003 in NV

Enrollment address

11411 N 19TH Ave
Phoenix, AZ 85029-3642

Nursing home name

CORONADO HEALTHCARE CENTER

Affiliated entity

THE ENSIGN GROUP

Listed as

Coronado Healthcare CenterCCN 035132

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 - Individual

Certified

Aug 5, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

191174.7 residents per day on average

Chain

The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• Chintan H Mehta, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1528082849

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

  CMS ownership

Facilities with the same owner 4

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

• Aztec Healthcare, Inc.

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1346620226

  Ventura Medstaff, LLC

  CMS ownership
• Ludden Healthcare LLC

  • Skilled Nursing Facility
  • Surprise, AZ
  • NPI 1487215067

  Ventura Medstaff, LLC

  CMS ownership
• Presidio Health Associates LLC

  • Skilled Nursing Facility
  • Tucson, AZ
  • NPI 1649262239

  Concentric Healthcare Solutions LLC

  CMS ownership
• Prairie Creek Healthcare, Inc.

  • Skilled Nursing Facility
  • West Bend, IA
  • NPI 1184917148

  Ventura Medstaff, LLC

  CMS ownership

Practitioners 5

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

• Fadi Alrabadi, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1609131499
  NPD (past)
• John Anthony Carroll, MD

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1063468932
  NPD (past)
• Maureen A Cowell, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1679987408
  NPD (past)
• Chintan H Mehta, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1528082849
  NPD (past)
• Linda Mary Paullin, ANP

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1154388346
  NPD (past)

Affiliated clinicians 3

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

• Fadi Alrabadi, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1609131499

  Nursing home

  Care Compare affiliation
• Russell James Esquivel, MD

  • Hospitalist Physician
  • Scottsdale, AZ
  • NPI 1972682409

  Nursing home

  Care Compare affiliation
• Chintan H Mehta, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1528082849

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1376535674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293642",
            "telephone_number": "602-256-7500",
            "fax_number": "602-943-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293642",
            "telephone_number": "602-256-7500",
            "fax_number": "602-943-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MOUNTAIN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "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": "AZ",
            "license": "NCI-2637",
            "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": "Coronado Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coronado Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• North Mountain Laboratory
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• Skilled Nursing Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.