Organization Active NPI

Avalanche Healthcare Inc.

  • Skilled Nursing Facility
  • Denver, CO
National Provider Identifier
1740876127
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AVALANCHE HEALTHCARE INC.
Practice address
4450 E Jewell Ave
Denver, CO 80222-4605
Phone
(303) 757-7438
NPI assigned
Dec 18, 2020
Last updated
Dec 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

4450 E Jewell Ave
Denver, CO 80222-4605

Mailing address

4450 E Jewell Ave
Denver, CO 80222-4605
Phone (303) 757-7438

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401000683 CO Part A Provider - Skilled Nursing Facility 4486061801 Practice locations: Denver, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740876127. Details of each certification follow.

Skilled nursing facility certification: CCN 065230

Legal name
AVALANCHE HEALTHCARE INC.
Doing business as
SOUTH VALLEY POST ACUTE REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 17, 1986
Last certification
Nov 13, 2023
Beds
106
Ownership / control type
Corporation
Multi-facility organization
Endura Healthcare
Organization structure
CorporationProprietary
Incorporated
Dec 15, 2020 in NV
Enrollment address
4450 E Jewell Ave
Denver, CO 80222-4605
Nursing home name
SOUTH VALLEY POST ACUTE REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
South Valley Post Acute RehabilitationCCN 065230 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 17, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
106102.8 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
06D0514156South Valley Post Acute4450 E Jewell Ave, Denver, CO 80222Certificate of waiverAug 31, 2026

National Provider Directory

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
Kare Technologies LLC Organization, Houston, TX LLC Operational/Managerial Control Apr 1, 2021
Joseph Graham Individual Corporate OfficerPresident Avalanche Healthcare, Inc Sep 20, 2024
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 Dec 15, 2020
Ami Sato Individual Corporate OfficerTreasurer Avalanche Healthcare, Inc Sep 9, 2024
Endura Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Dec 15, 2020 100%
David Jorgensen Individual Corporate DirectorDirector Avalanche Healthcare, I Dec 15, 2020
Christopher S Horton Individual Operational/Managerial Control Apr 1, 2021
Managing Control - Governing BodyMedical Director Apr 1, 2021
Adp of the SNF Jun 21, 2025
Hunter Wilson Individual Operational/Managerial ControlAdministrator Apr 1, 2020
Managing Control - Governing BodyAdministrator Apr 1, 2020
Adp of the SNF Jun 25, 2025
SMV Denver Red Rocks LLC Organization, New York, NY Corporation Adp of the SNF Apr 1, 2021
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Soon Burnam Individual Corporate OfficerSecretary Avalanche Healthcare, Dec 15, 2020

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 29

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

View all 29

Practitioners & affiliated clinicians

Practitioners 1

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": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1740876127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 E JEWELL AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224605",
            "telephone_number": "303-757-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 E JEWELL AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224605",
            "telephone_number": "303-757-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALANCHE HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "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": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.