NPIMap

Organization Active NPI

Coldwater Springs Healthcare, Inc.

Doing business as Estrella Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Avondale, AZ
National Provider Identifier
1720745664
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COLDWATER SPRINGS HEALTHCARE, INC.
Doing business as
Estrella Health and Rehabilitation Center
Practice address
350 E la Canada Blvd
Avondale, AZ 85323-1643
Phone
(623) 932-2282
NPI assigned
Nov 28, 2021
Last updated
Feb 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 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 NU Primary

Addresses

Primary practice location

350 E la Canada Blvd
Avondale, AZ 85323-1643

Mailing address

350 E la Canada Blvd
Avondale, AZ 85323-1643
Phone (623) 932-2282

Other names 1

  • Estrella Health and Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:5291/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
O20211230002072 AZ Part A Provider - Skilled Nursing Facility 2668863689 Practice locations: Avondale, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720745664. Details of each certification follow.

Skilled nursing facility certification: CCN 035166

Legal name
COLDWATER SPRINGS HEALTHCARE, INC.
Doing business as
ESTRELLA HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 26, 1988
Last certification
Mar 29, 2024
Beds
161
Ownership / control type
Corporation
Multi-facility organization
Bandera Healthcare LLC
Organization structure
CorporationProprietary
Incorporated
Nov 5, 2021 in NV
Enrollment address
350 E la Canada Blvd
Avondale, AZ 85323-1643
Nursing home name
ESTRELLA HEALTH AND REHABILITATION CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Estrella Health And Rehabilitation CenterCCN 035166 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 26, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
161148.7 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
03D0641950Estrella Health & Rehabilitation Center350 E la Canada Blvd, Avondale, AZ 85323Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Coldwater Springs Healthcare 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 12

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

NameRoleSinceShare
National Health Investors, Inc. Organization, Murfreesboro, TN Corporation Adp of the SNF Dec 30, 2021
Chandler Monks Individual Corporate OfficerPresident Coldwater Springs Healthc Mar 1, 2024
Texas Nhi Investors, LLC Organization, Murfreesboro, TN LLC Adp of the SNF Dec 30, 2021
William Nassour Individual Operational/Managerial Control Jan 1, 2022
Managing Control - Governing BodyMedical Director Jan 1, 2022
Adp of the SNF Jun 23, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 5, 2021 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Nov 5, 2021
Forrest Peterson Individual Corporate OfficerDirector Coldwater Springs Healt Nov 5, 2021
Ami Sato Individual Corporate OfficerTreasurer Coldwater Springs Healthc Sep 9, 2024
Bandera Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Nov 5, 2021 100%
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Soon Burnam Individual Corporate OfficerSecretary Coldwater Springs Heal Nov 5, 2021
Matthew Moser Individual Operational/Managerial Control Feb 1, 2026
Managing Control - Governing BodyAdministrator Feb 1, 2026
Adp of the SNF Feb 1, 2026

Owners & managing parties with NPI records 1

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

  • William Nassour, MD
    • Internal Medicine Physician
    • Goodyear, AZ
    • NPI 1104131820

    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 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 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": "1638057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1720745664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E LA CANADA BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231643",
            "telephone_number": "623-932-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E LA CANADA BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231643",
            "telephone_number": "623-932-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDWATER SPRINGS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-28",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:5291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "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": "Estrella Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Estrella Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.