Longs Peak Healthcare, Inc.
Organization Active NPI Skilled Nursing Facility · Longmont, CO
NPI 1750124947 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1750124947
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LONGS PEAK HEALTHCARE, INC.
- Practice address
- 1800 Stroh PL
Longmont, CO 80501-3214 - Phone
- (303) 776-6081
- NPI assigned
- Jun 14, 2024
- Organization subpart
- No
Authorized official
- Name
- Soon Burnam
- Title
- Treasurer
- Phone
- (949) 540-1249
Corporate family (same tax ID) 1
Facilities with the same owner 28
Practitioners 1
Affiliated clinicians 5
-
Diego M Freitas, M.D.
-
Arti Karna, MD
-
James Metzger, MD
Medicare Care Compare: Nursing home
- Listed as
- McIntosh Care and Rehabilitation Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 1986
- Medicare certification status
- Active
- Certified beds
- 110 · 83.3 residents per day on average
- Chain
- The Ensign Group
- Penalties (3 years)
- 1 · fines totaling $14,015
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Skilled nursing facility certification: CCN 065226
- Legal name
- LONGS PEAK HEALTHCARE INC
- Doing business as
- MCINTOSH CARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1986
- Last certification
- Feb 15, 2024
- Beds
- 110
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Ensign
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 1800 Stroh PL
Longmont, CO 80501-3214 - Nursing home name
- MCINTOSH CARE AND REHABILITATION CENTER
- Affiliated entity
- THE ENSIGN GROUP
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Malcolm R Fraser |
Operational/Managerial Control | Sep 1, 2024 | |
| Adp of the SNF | Sep 1, 2024 | ||
| Isomed Inc |
Operational/Managerial Control | Sep 1, 2024 | |
| Joseph Graham |
Corporate Officer |
May 24, 2024 | |
| The Ensign Group Inc |
5% Or Greater Indirect Ownership Interest | May 24, 2024 | 100% |
| Ensign Services Inc |
Adp of the SNF | Sep 1, 2024 | |
| Ami Sato |
Corporate Officer |
Sep 9, 2024 | |
| Endura Healthcare LLC |
5% Or Greater Direct Ownership Interest | May 24, 2024 | 100% |
| Prime Time Healthcare LLC |
Operational/Managerial Control | Sep 1, 2024 | |
| David Jorgensen |
Corporate Director |
May 24, 2024 | |
| Chad Keetch |
Corporate Officer |
Mar 1, 2011 | |
| SMV Longmont LLC |
Adp of the SNF | Sep 1, 2024 | |
| Garon Lear |
Operational/Managerial Control | Sep 1, 2024 | |
| Managing Control - Governing Body |
Sep 1, 2024 | ||
| Adp of the SNF | Jun 21, 2025 | ||
| Soon Burnam |
Corporate Officer |
May 24, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250205001362 | CO | Part a Provider - Skilled Nursing Facility | 5799215836 | Practice locations: Longmont, CO |
National Provider Directory
- Tax ID family
- Longs Peak Healthcare Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1800 Stroh PL
Longmont, CO 80501-3214
Mailing address
1800 Stroh PL
Longmont, CO 80501-3214
Other names
- McIntosh Care and Rehabilitation Center
NPI Registry JSON
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722556800000",
"number": "1750124947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 STROH PL",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 STROH PL",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013214",
"telephone_number": "303-776-6081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGS PEAK HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-14",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"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": [
{
"organization_name": "McIntosh Care and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
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- Longs Peak Emergency Physicians, PC
- Longs Peak Family Practice, PC
- Longs Peak Healthcare, Inc.
- Longs Peak Hospital
- Longs Peak Hospital
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- Krista Loos-Christensen
All providers in Longmont, CO · Skilled Nursing Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.