NPIMap

Organization Active NPI

Valley View Health Services, Inc.

Doing business as Monte Vista Hills Healthcare Center

  • Skilled Nursing Facility
  • Pocatello, ID
National Provider Identifier
1821360868
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VALLEY VIEW HEALTH SERVICES, INC.
Doing business as
Monte Vista Hills Healthcare Center
Practice address
1071 Renee Ave
Pocatello, ID 83201-2508
Phone
(208) 233-1411
Fax
(208) 233-1515
NPI assigned
Feb 7, 2012
Last updated
Mar 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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 ID Primary

Addresses

Primary practice location

1071 Renee Ave
Pocatello, ID 83201-2508

Mailing address

1071 Renee Ave
Pocatello, ID 83201-2508
Phone (208) 233-1411

Other names 1

  • Monte Vista Hills Healthcare Center 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 ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000534 ID Part A Provider - Skilled Nursing Facility 2567624158 Practice locations: Pocatello, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821360868. Details of each certification follow.

Skilled nursing facility certification: CCN 135018

Legal name
VALLEY VIEW HEALTH SERVICES, INC.
Doing business as
MONTE VISTA HILLS HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jul 26, 2024
Beds
113
Ownership / control type
Corporation
Multi-facility organization
Care Trust
Organization structure
CorporationProprietary
Incorporated
Dec 15, 2011 in NV
Enrollment address
1071 Renee Ave
Pocatello, ID 83201-2508
Nursing home name
MONTE VISTA HILLS HEALTHCARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Monte Vista Hills Healthcare CenterCCN 135018 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11362.5 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Esolutions 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 15

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

NameRoleSinceShare
Clayton South Individual Operational/Managerial ControlAdministrator Aug 26, 2015
Managing Control - Governing BodyAdministrator Aug 26, 2015
Adp of the SNF Aug 26, 2015
Isaiah Hawkins Individual Corporate DirectorPresident Valley View Health Servic Mar 1, 2011
Pennant Healthcare LLC Organization, San Juan Capistrano, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 21, 2012 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2012 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Mar 1, 2012
Twomagnets LLC Organization, Covina, CA LLC Operational/Managerial Control Mar 1, 2012
Adp of the SNF Aug 27, 2025
Ami Sato Individual Corporate OfficerTreasurer Valley View Health Servic Sep 9, 2024
Renee Avenue Health Holdings LLC Organization, Mission Viejo, CA LLC, For-profit Adp of the SNF Mar 1, 2012
Ctr Partnership LP Organization, San Clemente, CA Corporation Adp of the SNF Mar 1, 2012
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Mar 1, 2012
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Mar 1, 2012
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Stephen W Farnsworth Individual Corporate OfficerDirector Valley View Health Servic Sep 9, 2024
Krista Jean Andersen-Harris Individual Operational/Managerial Control Nov 7, 2022
Managing Control - Governing BodyMedical Director Nov 7, 2022
Adp of the SNF Mar 1, 2012
Soon Burnam Individual Corporate OfficerSecretary Valley View Health Servic Sep 9, 2024
Managing Control - Governing BodyAuthorized Official Sep 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.

Facilities with the same owner 58

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

View all 58

Practitioners & affiliated clinicians

Practitioners 5

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 3

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": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1821360868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 RENEE AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012508",
            "telephone_number": "208-233-1411",
            "fax_number": "208-233-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 RENEE AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012508",
            "telephone_number": "208-233-1411",
            "fax_number": "208-233-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "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": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "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": "Monte Vista Hills Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monte Vista Hills Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.