NPIMap

Organization Active NPI

Pocatello Health Services, Inc.

Doing business as Gateway Transitional Care Center

  • Skilled Nursing Facility
  • Pocatello, ID
National Provider Identifier
1407956253
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
POCATELLO HEALTH SERVICES, INC.
Doing business as
Gateway Transitional Care Center
Practice address
527 Memorial Drive
Pocatello, ID 83201-4063
Phone
(208) 478-3333
Fax
(208) 478-3331
NPI assigned
Sep 22, 2006
Last updated
Mar 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

527 Memorial Drive
Pocatello, ID 83201-4063

Mailing address

527 Memorial Drive
Pocatello, ID 83201-4063
Phone (208) 478-3333

Other names 1

  • Gateway Transitional 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
O20070511000223 ID Part A Provider - Skilled Nursing Facility 3173521176 Practice locations: Pocatello, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407956253. Details of each certification follow.

Skilled nursing facility certification: CCN 135011

Legal name
POCATELLO HEALTH SERVICES INC
Doing business as
GATEWAY TRANSITIONAL CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jul 11, 2024
Beds
88
Ownership / control type
Corporation
Multi-facility organization
Ensign Services
Organization structure
CorporationProprietary
Enrollment address
527 Memorial Dr
Pocatello, ID 83201-4063
Nursing home name
GATEWAY TRANSITIONAL CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gateway Transitional Care CenterCCN 135011 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10285.5 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
Esolutions 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 15

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

NameRoleSinceShare
Memorial Health Holdings LLC Organization, San Clemente, CA LLC Adp of the SNF Oct 1, 2006
Isaiah Hawkins Individual Corporate OfficerPresident Pocatello Health Services Oct 1, 2006
Pennant Healthcare LLC Organization, San Juan Capistrano, CA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2006 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2006 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Oct 1, 2006
Trey D Rogers Individual Operational/Managerial Control Mar 29, 2023
Managing Control - Governing BodyMedical Director Mar 29, 2023
Adp of the SNF Jul 9, 2025
Ami Sato Individual Corporate OfficerTreasurer Pocatello Health Services Sep 9, 2024
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF May 1, 2013
Gavin Monteath Individual Operational/Managerial Control Aug 9, 2019
Managing Control - Governing BodyAdministrator Aug 9, 2019
Adp of the SNF Jul 8, 2025
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Oct 1, 2006
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Oct 1, 2006
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Stephen W Farnsworth Individual Corporate DirectorDirector Pocatello Health Services, Jul 27, 2018
J Gorriceta PLLC Organization, Pocatello, ID LLC Operational/Managerial Control Oct 1, 2006
Soon Burnam Individual Corporate OfficerSecretary Pocatello Health Services Oct 1, 2006

Owners & managing parties with NPI records 2

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

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.

Affiliated clinicians 3

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1407956253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEMORIAL DRIVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014063",
            "telephone_number": "208-478-3333",
            "fax_number": "208-478-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEMORIAL DRIVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014063",
            "telephone_number": "208-478-3333",
            "fax_number": "208-478-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCATELLO HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "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": "Gateway Transitional Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateway Transitional Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.