NPIMap

Organization Active NPI

Santa Maria Healthcare, Inc.

Doing business as Villa Maria Healthcare Center

  • Skilled Nursing Facility
  • Santa Maria, CA
National Provider Identifier
1730643669
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SANTA MARIA HEALTHCARE, INC.
Doing business as
Villa Maria Healthcare Center
Practice address
425 Barcellus Ave
Santa Maria, CA 93454-6901
Phone
(805) 922-5548
Fax
(805) 922-5548
NPI assigned
Jan 24, 2019
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Soon Burnam
Title
Authorized Official
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

425 Barcellus Ave
Santa Maria, CA 93454-6901

Mailing address

425 Barcellus Ave
Santa Maria, CA 93454-6901
Phone (805) 922-5548

Other names 1

  • Villa Maria Healthcare 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 CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190605002119 CA Part A Provider - Skilled Nursing Facility 7315270477 Practice locations: Santa Maria, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730643669. Details of each certification follow.

Skilled nursing facility certification: CCN 055830

Legal name
SANTA MARIA HEALTHCARE, INC.
Doing business as
VILLA MARIA POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 31, 1967
Last certification
Jun 6, 2024
Beds
81
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 15, 2019 in NV
Enrollment address
425 Barcellus Ave
Santa Maria, CA 93454-6901
Nursing home name
VILLA MARIA POST ACUTE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Villa Maria Post AcuteCCN 055830 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 31, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8174.6 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
05D1006730Villa Maria Post Acute425 East Barcellus Avenue, Santa Maria, CA 93454Certificate of waiverNov 25, 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
Flagstone Healthcare Central LLC Organization, Mission Viejo, CA LLC 5% Or Greater Direct Ownership Interest Jan 15, 2019 100%
Timothy Cooley Individual Operational/Managerial ControlAdministrator May 1, 2019
Adp of the SNF May 1, 2019
The Ensign Group Inc Organization, Mission Viejo, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 15, 2019 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jan 15, 2019
Adam Willits Individual Corporate DirectorDirector Santa Maria Healthcare Jan 15, 2019
Ami Sato Individual Corporate OfficerTreasurer Santa Maria Healthcare Sep 9, 2024
Arlene C Gonzales Individual Operational/Managerial Control May 30, 2019
Adp of the SNF May 30, 2019
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Jared Cullifer Individual Corporate OfficerPresident Santa Maria Healthcare Jan 1, 2024
Soon Burnam Individual Corporate OfficerSecretary Santa Maria Healthcare Jan 15, 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 18

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

View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1730643669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BARCELLUS AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546901",
            "telephone_number": "805-922-5548",
            "fax_number": "805-922-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BARCELLUS AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546901",
            "telephone_number": "805-922-5548",
            "fax_number": "805-922-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "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://199.119.81.30:8291/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": "Villa Maria Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Villa Maria Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.