Russet Ridge Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RUSSET RIDGE HEALTHCARE LLC

Doing business as

Timber Springs Transitional Care

Practice address

1140 N Allumbaugh St
Boise, ID 83704-8716

Phone

(208) 501-7200

Fax

(208) 337-4892

NPI assigned

May 23, 2025

Last updated

Apr 15, 2026By the provider in NPPES

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

Secretary

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Timber Springs Transitional Care Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558154492. Details of each certification follow.

• CCN 135098 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 135098

Legal name

RUSSET RIDGE HEALTHCARE LLC

Doing business as

TIMBER SPRINGS TRANSITIONAL CARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 16, 1986

Last certification

Jun 28, 2024

Beds

120

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Ensign Services

Organization structure

LLCProprietary

Enrollment address

1140 N Allumbaugh St
Boise, ID 83704-8716

Nursing home name

TIMBER SPRINGS TRANSITIONAL CARE

Affiliated entity

THE ENSIGN GROUP

Listed as

Timber Springs Transitional CareCCN 135098 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 16, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12093.3 residents per day on average

Chain

The Ensign Group342 facilities in the chain

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

2Fines totaling $30,654

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 9

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.

• Daniel Jude Allen, DO

  • Family Medicine Physician
  • Middleton, ID
  • NPI 1720017247

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

  CMS ownership

Affiliated clinicians 1

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

• Daniel Jude Allen, DO

  • Family Medicine Physician
  • Middleton, ID
  • NPI 1720017247

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1558154492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048716",
            "telephone_number": "208-501-7200",
            "fax_number": "208-337-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048716",
            "telephone_number": "208-501-7200",
            "fax_number": "208-337-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSET RIDGE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "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": "Timber Springs Transitional Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Russell, RN
• Dakota Russell
• Graham E Russell, BSN, DNP-CRNA
• Kelly Russell, MSN,RN,FNP-BC
• Kristen Russell, COTA/L
• Deborah J Russo, LCSW
• Taylor Caroline Russo, MS ATC LAT
• Todd Rustad, M.D.
• Cassandra E Rustvold, LCSW
• Yakobo N Rutebuka

• Skilled Nursing Facility in Boise, ID
• Providers in Boise, ID by specialty
• Skilled Nursing Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.