Organization Active NPI

Dove Valley Healthcare, Inc.

Doing business as Parker Post Acute

  • Skilled Nursing Facility
  • Parker, CO
National Provider Identifier
1386414456
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DOVE VALLEY HEALTHCARE, INC.
Doing business as
Parker Post Acute
Practice address
9398 Crown Crest Blvd
Parker, CO 80138-8573
Phone
(720) 857-3300
NPI assigned
Jan 8, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 NU Primary

Addresses

Primary practice location

9398 Crown Crest Blvd
Parker, CO 80138-8573

Mailing address

9398 Crown Crest Blvd
Parker, CO 80138-8573
Phone (720) 857-3300

Other names 1

  • Parker Post Acute Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240401003125 CO Part A Provider - Skilled Nursing Facility 7719325471 Practice locations: Parker, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386414456. Details of each certification follow.

Skilled nursing facility certification: CCN 065405

Legal name
DOVE VALLEY HEALTHCARE INC
Doing business as
PARKER POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 27, 2013
Last certification
Jan 23, 2024
Beds
154
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Endura Healthcare
Organization structure
CorporationProprietary
Incorporated
Dec 18, 2023 in NV
Enrollment address
9398 Crown Crest Blvd
Parker, CO 80138-8573
Nursing home name
PARKER POST ACUTE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parker Post AcuteCCN 065405 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 27, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
154125.1 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $17,342

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Dove Valley Healthcare Inc2 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 14

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

NameRoleSinceShare
Kare Technologies LLC Organization, Houston, TX LLC Operational/Managerial Control Mar 1, 2024
Joseph Graham Individual Corporate OfficerPresident Dove Valley Healthcare, I Mar 1, 2024
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Dec 19, 2023 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Dec 18, 2023
Ami Sato Individual Corporate OfficerTreasurer Dove Valley Healthcare, Sep 9, 2024
Endura Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Dec 18, 2023 100%
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Mar 1, 2024
David Jorgensen Individual Corporate DirectorDirector Dove Valley Healthcare, Sep 9, 2024
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Mar 1, 2024
Christopher S Horton Individual Operational/Managerial Control Mar 1, 2024
Managing Control - Governing BodyMedical Director Mar 1, 2024
Adp of the SNF Jul 14, 2025
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Mar 1, 2024
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Eddy Boyles Individual Operational/Managerial Control Dec 19, 2023
Managing Control - Governing BodyAdministrator Dec 19, 2023
Adp of the SNF Jul 14, 2025
Soon Burnam Individual Corporate OfficerSecretary Dove Valley Healthcare, Dec 19, 2023
Adp of the SNF Jul 14, 2025

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 29

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

View all 29

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.

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": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1386414456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9398 CROWN CREST BLVD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388573",
            "telephone_number": "720-857-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9398 CROWN CREST BLVD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388573",
            "telephone_number": "720-857-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE VALLEY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "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": "Parker Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.