NPIMap

Organization Active NPI

Longs Peak Healthcare, Inc.

Doing business as McIntosh Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Longmont, CO
National Provider Identifier
1750124947
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LONGS PEAK HEALTHCARE, INC.
Doing business as
McIntosh Care and Rehabilitation Center
Practice address
1800 Stroh PL
Longmont, CO 80501-3214
Phone
(303) 776-6081
NPI assigned
Jun 14, 2024
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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 Primary

Addresses

Primary practice location

1800 Stroh PL
Longmont, CO 80501-3214

Mailing address

1800 Stroh PL
Longmont, CO 80501-3214

Other names 1

  • McIntosh Care and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205001362 CO Part A Provider - Skilled Nursing Facility 5799215836 Practice locations: Longmont, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750124947. Details of each certification follow.

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
CorporationProprietary
Enrollment address
1800 Stroh PL
Longmont, CO 80501-3214
Nursing home name
MCINTOSH CARE AND REHABILITATION CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
McIntosh Care and Rehabilitation CenterCCN 065226 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
11083.3 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $14,015

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Longs Peak Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Malcolm R Fraser Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Sep 1, 2024
Isomed Inc Organization, South Jordan, UT Corporation Operational/Managerial Control Sep 1, 2024
Joseph Graham Individual Corporate OfficerPresident Longs Peak Healthcare May 24, 2024
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest May 24, 2024 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Sep 1, 2024
Ami Sato Individual Corporate OfficerTreasurer Longs Peak Healthcare Sep 9, 2024
Endura Healthcare LLC Organization, San Juan Capistrano, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 24, 2024 100%
Prime Time Healthcare LLC Organization, Elkhorn, NE LLC Operational/Managerial Control Sep 1, 2024
David Jorgensen Individual Corporate DirectorDirector Longs Peak Healthcare May 24, 2024
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
SMV Longmont LLC Organization, New York, NY LLC Adp of the SNF Sep 1, 2024
Garon Lear Individual Operational/Managerial Control Sep 1, 2024
Managing Control - Governing BodyAdministrator Sep 1, 2024
Adp of the SNF Jun 21, 2025
Soon Burnam Individual Corporate OfficerSecretary Longs Peak Healthcare May 24, 2024

Facilities with the same owner 28

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

View all 28

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 5

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": "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"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.