NPIMap

Organization Active NPI

Franklin Avenue Healthcare Inc.

  • Skilled Nursing Facility
  • Berthoud, CO
National Provider Identifier
1821684200
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FRANKLIN AVENUE HEALTHCARE INC.
Practice address
855 Franklin Ave
Berthoud, CO 80513-1158
Phone
(970) 532-2632
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

855 Franklin Ave
Berthoud, CO 80513-1158

Mailing address

855 Franklin Ave
Berthoud, CO 80513-1158
Phone (970) 532-2632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210325002512 CO Part A Provider - Skilled Nursing Facility 8527475185 Practice locations: Berthoud, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821684200. Details of each certification follow.

Skilled nursing facility certification: CCN 065265

Legal name
FRANKLIN AVENUE HEALTHCARE INC.
Doing business as
BERTHOUD CARE AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 1, 1989
Last certification
Jun 11, 2024
Beds
76
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ensign Group
Most recent change of ownership
Jun 1, 2005
Organization structure
CorporationProprietary
Enrollment address
855 Franklin Ave
Berthoud Care and Rehabilitation
Berthoud, CO 80513-1158
Nursing home name
BERTHOUD CARE AND REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Berthoud Care and RehabilitationCCN 065265 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7667.3 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
Berthoud Care and Rehabilitation2 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 11

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 Apr 1, 2021
Managing Control - Governing BodyMedical Director Apr 1, 2021
Adp of the SNF Jun 19, 2025
Isomed Inc Organization, South Jordan, UT Corporation Operational/Managerial Control Apr 1, 2021
Joseph Graham Individual Corporate OfficerPresident Franklin Avenue Healthcar Feb 1, 2024
Operational/Managerial Control Apr 1, 2021
Managing Control - Governing BodyAdministrator Apr 1, 2021
Adp of the SNF Jun 19, 2025
SMV Berthoud LLC Organization, New York, NY LLC Adp of the SNF Apr 1, 2021
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 19, 2014 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Dec 15, 2020
Ami Sato Individual Corporate OfficerTreasurer Franklin Avenue Healthcar Sep 20, 2024
Endura Healthcare LLC Organization, San Juan Capistrano, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2021 100%
David Jorgensen Individual Corporate DirectorDirector Franklin Avenue Healthcare Dec 15, 2020
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Soon Burnam Individual Corporate OfficerSecretary Franklin Avenue Healthcar Dec 15, 2020

Facilities with the same owner 26

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

View all 26

Practitioners & affiliated clinicians

Practitioners 2

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": "1821684200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 FRANKLIN AVE",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131158",
            "telephone_number": "970-532-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 FRANKLIN AVE",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131158",
            "telephone_number": "970-532-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN AVENUE 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 Berthoud, CO

Sources for this page

Verify at the official NPI Registry.