Organization Active NPI

McCall Healthcare LLC

  • Skilled Nursing Facility
  • McCall, ID
National Provider Identifier
1609367697
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MCCALL HEALTHCARE LLC
Practice address
418 Floyde St
McCall, ID 83638-4508
Phone
(208) 634-2112
Fax
(208) 634-3605
NPI assigned
May 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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 ID Primary

Addresses

Primary practice location

418 Floyde St
McCall, ID 83638-4508

Mailing address

418 Floyde St
McCall, ID 83638-4508
Phone (208) 634-2112

Other names 1

  • McCall Rehabilitation and 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
O20180627003046 ID Part A Provider - Skilled Nursing Facility 1658627005 Practice locations: McCall, ID

Skilled nursing facility certification: CCN 135082

Legal name
MCCALL HEALTHCARE, LLC
Doing business as
MCCALL REHABILITATION AND CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1981
Last certification
Jul 14, 2022
Beds
65
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ensign Group Inc.
Organization structure
LLCProprietary
Incorporated
May 17, 2018 in NV
Enrollment address
418 Floyde St
McCall, ID 83638-4508
Nursing home name
MCCALL REHABILITATION AND CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
McCall Rehabilitation and Care CenterCCN 135082
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6532.0 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

Ownership & related parties

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.

NameRoleSinceShare
Standard Bearer Healthcare Op LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2022
Isaiah Hawkins Individual Corporate OfficerPresident of McCall Healthcare LLC Sep 9, 2024
Pennant Healthcare, Inc. Organization, San Juan Capistrano, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 30, 2021 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 17, 2018 100%
Adp of the SNF Jan 1, 2022
Ami Sato Individual Corporate OfficerTreasurer of McCall Healthcare LLC Sep 9, 2024
Floyde Health Holdings LLC Organization, San Juan Capistrano, CA LLC, For-profit Adp of the SNF Jan 1, 2022
Stephen W Farnsworth Individual Corporate OfficerPresident of Pennant Healthcare LLC Jan 1, 2023
Corporate DirectorDirector of McCall Healthcare LLC May 30, 2019
Operational/Managerial ControlAdministrator Jul 1, 2018
Managing Control - Governing BodyAdministrator Jul 1, 2018
Adp of the SNF Apr 8, 2025
Soon Burnam Individual Corporate OfficerSecretary of McCall Healthcare LLC May 17, 2018
Daniel J Allen Individual Managing Control - Governing BodyMedical Director Jul 1, 2022
Adp of the SNF Apr 8, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1609367697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 FLOYDE ST",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836384508",
            "telephone_number": "208-634-2112",
            "fax_number": "208-634-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 FLOYDE ST",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836384508",
            "telephone_number": "208-634-2112",
            "fax_number": "208-634-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCALL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "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": "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": "McCall Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McCall, ID

Sources for this page

Verify at the official NPI Registry.