NPIMap

Organization Active NPI

Bardwell Healthcare, Inc.

  • Skilled Nursing Facility
  • Commerce City, CO
National Provider Identifier
1609413897
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BARDWELL HEALTHCARE, INC.
Practice address
5230 E 66TH Way
Commerce City, CO 80022-2442
Phone
(303) 289-1848
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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 Primary

Addresses

Primary practice location

5230 E 66TH Way
Commerce City, CO 80022-2442

Mailing address

5230 E 66TH Way
Commerce City, CO 80022-2442
Phone (303) 289-1848

Other names 1

  • Ridgeview Post Acute 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 CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200320002103 CO Part A Provider - Skilled Nursing Facility 7810325032 Practice locations: Commerce City, CO

Skilled nursing facility certification: CCN 065283

Legal name
BARDWELL HEALTHCARE, INC.
Doing business as
PRIME TIME HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1990
Last certification
Jul 16, 2024
Beds
112
Ownership / control type
Corporation
Multi-facility organization
Endura
Most recent change of ownership
Jan 1, 2007
Organization structure
CorporationProprietary
Incorporated
Aug 2, 2019 in NV
Enrollment address
5230 E 66TH Way
Commerce City, CO 80022-2442
Nursing home name
RIDGEVIEW POST ACUTE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ridgeview Post AcuteCCN 065283
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11296.7 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0707223Ridgeview Post Acute5230 E 66TH Way, Commerce City, CO 80022Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Jonathan Creason Individual Operational/Managerial ControlAdministrator Mar 1, 2020
Managing Control - Governing BodyAdministrator Mar 1, 2020
Adp of the SNF Mar 1, 2020
Joseph Graham Individual Corporate OfficerPresident Bardwell Healthcare, Inc. Mar 1, 2020
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jun 18, 2014 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Aug 2, 2019
Ami Sato Individual Corporate OfficerTreasurer Bardwell Healthcare, Inc. Sep 9, 2024
Endura Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Mar 1, 2020
Prime Time Healthcare LLC Organization, Omaha, NE LLC Operational/Managerial Control Mar 1, 2020
David Jorgensen Individual Corporate DirectorDirector Bardwell Healthcare, Inc. Aug 2, 2019
Christopher S Horton Individual Operational/Managerial Control Mar 1, 2020
Managing Control - Governing BodyMedical Director Mar 1, 2020
Adp of the SNF Mar 1, 2020
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Soon Burnam Individual Corporate OfficerSecretary Bardwell Healthcare, Inc. Aug 2, 2019

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 28

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

View all 28

Practitioners & affiliated clinicians

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": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1609413897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 E 66TH WAY",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800222442",
            "telephone_number": "303-289-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 E 66TH WAY",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800222442",
            "telephone_number": "303-289-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDWELL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "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": null,
            "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": "CSV",
            "contentTypeDescription": "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": "Ridgeview Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridgeview Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce City, CO

Sources for this page

Verify at the official NPI Registry.