NPIMap

Organization Active NPI

Rillito River Healthcare, Inc.

  • Skilled Nursing Facility
  • Tucson, AZ
National Provider Identifier
1689561722
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RILLITO RIVER HEALTHCARE, INC.
Practice address
1650 N Santa Rosa Ave
Tucson, AZ 85712-4039
Phone
(520) 795-1610
Fax
(520) 795-6355
NPI assigned
Jun 20, 2025
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1650 N Santa Rosa Ave
Tucson, AZ 85712-4039

Mailing address

1650 N Santa Rosa Ave
Tucson, AZ 85712-4039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260303003392 AZ Part A Provider - Skilled Nursing Facility 4082196654 Practice locations: Tucson, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689561722. Details of each certification follow.

Skilled nursing facility certification: CCN 035004

Legal name
RILLITO RIVER HEALTHCARE, INC.
Doing business as
SANTA ROSA CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 1, 1980
Last certification
Oct 27, 2023
Beds
144
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Enrollment address
1650 N Santa Rosa Ave
Tucson, AZ 85712-4039
Nursing home name
SANTA ROSA CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Santa Rosa Care CenterCCN 035004 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
144119.7 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Christine Jones Individual Corporate OfficerPresident Rillito River Healthcare, May 9, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest May 9, 2025 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF May 9, 2025
Forrest Peterson Individual Corporate DirectorDirector Rillito River Healthcare, May 9, 2025
Ami Sato Individual Corporate OfficerTreasurer Rillito River Healthcare May 9, 2025
Harbir D Singh Individual Operational/Managerial Control Dec 1, 2025
Adp of the SNF Dec 1, 2025
Bandera Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Sep 5, 2025 100%
Santa Rosa Propco, LLC Organization, North Hollywood, CA LLC Adp of the SNF Dec 1, 2025
Christopher W Rowe Individual Operational/Managerial Control Dec 1, 2025
Adp of the SNF Dec 1, 2025
Soon Burnam Individual Corporate OfficerSecretary Rillito River Healthcare, May 9, 2025

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 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 2

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 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": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1689561722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 N SANTA ROSA AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 N SANTA ROSA AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124039",
            "telephone_number": "520-795-1610",
            "fax_number": "520-795-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILLITO RIVER HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "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": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.