Organization Active NPI

Ensign Whittier West LLC

Doing business as The Orchard Post Acute Care

  • Skilled Nursing Facility
  • Whittier, CA
National Provider Identifier
1740289982
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000019 Issued in CA
Legal business name
ENSIGN WHITTIER WEST LLC
Doing business as
The Orchard Post Acute Care
Practice address
12385 East Washington Blvd
Whittier, CA 90606-2502
Phone
(562) 693-7701
Fax
(562) 693-6037
NPI assigned
Jul 19, 2005
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
Ms. Soon E Burnam
Title
Authorized Agent
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000019 CA Primary

Addresses

Primary practice location

12385 East Washington Blvd
Whittier, CA 90606-2502

Mailing address

12385 East Washington Blvd
Whittier, CA 90606-2502
Phone (562) 693-7701

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05706JMedicaidCA

Other names 1

  • The Orchard Post Acute Care 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
O20111213000062 CA Part A Provider - Skilled Nursing Facility 8426223942 Practice locations: Whittier, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740289982. Details of each certification follow.

Skilled nursing facility certification: CCN 055706

Legal name
ENSIGN WHITTIER WEST LLC
Doing business as
THE ORCHARD POST ACUTE CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 31, 1971
Last certification
Jul 26, 2024
Beds
162
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Flagstone Healthcare South LLC Affiliate of the Ensign Group Inc.
Organization structure
LLCProprietary
Enrollment address
12385 Washington Blvd
Whittier, CA 90606-2502
Nursing home name
THE ORCHARD - POST ACUTE CARE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Orchard - Post Acute CareCCN 055706 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 31, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
162150.0 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $14,950

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
05D0551663Orchard Post Acute Care, the12385 E Washington Blvd, Whittier, CA 90606Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

12385 Washington Blvd
Whittier, CA 90606
Phone (562) 593-7701

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
Ausim Khan Individual Operational/Managerial Control Jan 1, 2016
Managing Control - Governing BodyMedical Director Jan 1, 2016
Adp of the SNF Jan 1, 2016
Jesse Kim Individual Corporate DirectorSole Manger Ensign Whittier West LL Jan 1, 2023
Matthew Huefner Individual Operational/Managerial Control Jan 7, 2019
Managing Control - Governing BodyAdministrator Jan 7, 2019
Adp of the SNF Jan 7, 2019
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2022 100%
Adp of the SNF Jan 1, 2022
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jan 1, 2022
Madison Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Jan 1, 2022
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2001 100%
Chad Keetch Individual Corporate OfficerSecretary Mar 1, 2011
Operational/Managerial Control Mar 1, 2011
Adp of the SNF Mar 1, 2011
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2022
Soon Burnam Individual Corporate OfficerSecretary Orchard Post Acute Care Jan 1, 2022
Managing Control - Governing BodyAuthorized Official Jan 1, 2022

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 37

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

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1740289982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12385 EAST WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062502",
            "telephone_number": "562-693-7701",
            "fax_number": "562-693-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 EAST WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062502",
            "telephone_number": "562-693-7701",
            "fax_number": "562-693-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSIGN WHITTIER WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "949-540-1249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05706J",
            "state": "CA"
        }
    ],
    "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": "The Orchard Post Acute Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Orchard Post Acute Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.