NPIMap

Organization Active NPI

Renewcare of Scottsdale, Inc.

  • Skilled Nursing Facility
  • Scottsdale, AZ
National Provider Identifier
1487731022
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RENEWCARE OF SCOTTSDALE, INC.
Practice address
3333 N Civic Center PLZ
Scottsdale, AZ 85251-6413
Phone
(949) 487-9500
Fax
(949) 540-3007
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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) 487-9500

Specialties & licenses 1

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

Addresses

Primary practice location

3333 N Civic Center PLZ
Scottsdale, AZ 85251-6413

Mailing address

27101 Puerta Real
Suite 450
Mission Viejo, CA 92691-8518
Phone (949) 487-9500

Other names 1

  • Osborn Health and Rehabilitation 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 AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070103000082 AZ Part A Provider - Skilled Nursing Facility 7214937903 Practice locations: Scottsdale, AZ

Skilled nursing facility certification: CCN 035076

Legal name
RENEWCARE OF SCOTTSDALE, INC.
Doing business as
OSBORN HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 7, 1981
Last certification
Oct 10, 2024
Beds
130
Ownership / control type
Corporation
Multi-facility organization
Bandera Healthcare LLC
Organization structure
LLCProprietary
Incorporated
Oct 18, 2006 in NV
Enrollment address
3333 N Civic Center PLZ
Scottsdale, AZ 85251-6413
Nursing home name
OSBORN HEALTH AND REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Osborn Health and RehabilitationCCN 035076
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 7, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130117.6 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 14

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

NameRoleSinceShare
Chandler Monks Individual Corporate OfficerPresident Renewcare of Scottsdale Sep 9, 2024
The Ensign Group Inc Organization, Mission Viejo, CA Corporation 5% Or Greater Indirect Ownership Interest Sep 25, 2006 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Sep 25, 2006
Forrest Peterson Individual Corporate DirectorDirector Renewcare of Scottsdale Sep 25, 2018
Ami Sato Individual Corporate OfficerTreasurer Renewcare of Scottsdale Sep 9, 2024
Bandera Healthcare LLC Organization, Mission Viejo, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2006 100%
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Sep 25, 2006
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Sep 25, 2006
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Sep 25, 2006
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
RB Heights Health Holdings LLC Organization, San Clemente, CA LLC Adp of the SNF Sep 25, 2006
Vinee Srivastava Individual Operational/Managerial Control May 2, 2023
Managing Control - Governing BodyMedical Director May 2, 2023
Adp of the SNF May 2, 2023
Troy Sessions Individual Operational/Managerial Control Mar 20, 2019
Managing Control - Governing BodyAdministrator Mar 20, 2019
Adp of the SNF Mar 20, 2019
Soon Burnam Individual Corporate OfficerSecretary Renewcare of Scottsdale, Sep 25, 2006

Owners & managing parties with NPI records 1

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

  • Vinee Srivastava, MD
    • Internal Medicine Physician
    • Phoenix, AZ
    • NPI 1720130628

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

    CMS ownership

Facilities with the same owner 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 11

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

Affiliated clinicians 4

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1487731022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27101 PUERTA REAL",
            "address_2": "SUITE 450",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918518",
            "telephone_number": "949-487-9500",
            "fax_number": "949-540-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516413",
            "telephone_number": "949-487-9500",
            "fax_number": "949-540-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWCARE OF SCOTTSDALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "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": "949-487-9500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "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": "Osborn Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Osborn Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.