Active NPI
Sand Creek Healthcare, Inc.
- Skilled Nursing Facility
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SAND CREEK HEALTHCARE, INC.
- Practice address
- 5275 Millennium Dr NW
Huntsville, AL 35806-2457 - Phone
- (256) 489-6800
- NPI assigned
- Sep 5, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5275 Millennium Dr NW
Huntsville, AL 35806-2457
Mailing address
5275 Millennium Dr NW
Huntsville, AL 35806-2457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250327002705 | AL | Part A Provider - Skilled Nursing Facility | 1850814195 | Practice locations: Huntsville, AL |
Skilled nursing facility certification: CCN 015458
- Legal name
- SAND CREEK HEALTHCARE, INC.
- Doing business as
- THE HEALTH CENTER AT RESEARCH PARK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 24, 2007
- Last certification
- Jun 18, 2024
- Beds
- 91
- Ownership / control type
- Corporation
- Multi-facility organization
- American Health Communities
- Organization structure
- Corporation
- Enrollment address
- 5275 Millennium Dr NW
Huntsville, AL 35806-2457 - Nursing home name
- THE HEALTH CENTER AT RESEARCH PARK
- Affiliated entity
- THE ENSIGN GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Health Center at Research Park
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 24, 2007
- Medicare certification status
- Active
- Certified beds
- 91
- Chain
- The Ensign Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1050672 | Health Center at Research Park, the | Certificate of waiver | Feb 7, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Tyler Albrechtsen | Corporate Officer | Oct 2, 2024 | |
| Corporate Director | May 9, 2024 | ||
| Donald Vollmer | Managing Control - Governing Body | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| The Ensign Group Inc | 5% Or Greater Indirect Ownership Interest | May 9, 2024 | 100% |
| Ami Sato | Corporate Officer | Sep 9, 2024 | |
| Brent Thatcher | Corporate Officer | May 9, 2024 | |
| Hunter Wilson | Operational/Managerial Control | Jan 1, 2025 | |
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Adp of the SNF | Mar 21, 2025 | ||
| Southstone Healthcare LLC | 5% Or Greater Direct Ownership Interest | Oct 2, 2024 | 100% |
| Soon Burnam | Corporate Officer | May 9, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Hendersonville, TN
- NPI 1184612921
Adp of the SNF, Managing Control - Governing Body
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Birmingham, AL
- NPI 1982597456
Southstone Healthcare LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Hendersonville, TN
- NPI 1184612921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1750116091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 MILLENNIUM DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358062457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5275 MILLENNIUM DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358062457",
"telephone_number": "256-489-6800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAND CREEK HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.