NPIMap

Organization Active NPI

Ocotillo Healthcare, Inc.

  • Skilled Nursing Facility
  • Chandler, AZ
National Provider Identifier
1851768865
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OCOTILLO HEALTHCARE, INC.
Practice address
2121 W Elgin St
Chandler, AZ 85224-5608
Phone
(480) 899-6717
Fax
(480) 899-6364
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 AZ Primary

Addresses

Primary practice location

2121 W Elgin St
Chandler, AZ 85224-5608

Mailing address

2121 W Elgin St
Chandler, AZ 85224-5608
Phone (480) 899-6717

Other names 1

  • Chandler Post Acute 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 AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151124001018 AZ Part A Provider - Skilled Nursing Facility 9739489758 Practice locations: Chandler, AZ

Skilled nursing facility certification: CCN 035101

Legal name
OCOTILLO HEALTHCARE INC
Doing business as
CHANDLER POST ACUTE AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 24, 1985
Last certification
Dec 7, 2023
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Bandera Healthcare
Organization structure
CorporationProprietary
Incorporated
Dec 15, 2014 in NV
Enrollment address
2121 W Elgin St
Chandler, AZ 85224-5608
Nursing home name
CHANDLER POST ACUTE AND REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Chandler Post Acute and RehabilitationCCN 035101
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 24, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120105.9 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0641910Chandler Post Acute and Rehabilitation2121 W Elgin St, Chandler, AZ 85224Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2121 W Elgin St
Chandler, AZ 85224
Phone (480) 478-9029

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
Chandler Monks Individual Corporate OfficerPresident Ocotillo Healthcare, Inc. Mar 1, 2024
Barry Port Individual Managing Control - Governing BodySole Manager Bandera Healthcare LLC Jul 26, 2018
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 15, 2014 100%
Marietta L Uy Individual Operational/Managerial Control May 9, 2016
Managing Control - Governing BodyMedical Director May 9, 2016
Adp of the SNF May 9, 2016
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Nov 1, 2015
Forrest Peterson Individual Corporate DirectorSole Director Ocotillo Healthcare Jan 1, 2019
Ami Sato Individual Corporate OfficerTreasurer Ocotillo Healthcare, Inc. Sep 9, 2024
Bandera Healthcare LLC Organization, San Juan Capistrano, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 15, 2014 100%
Brett Jones Individual Operational/Managerial ControlAdministrator Nov 1, 2015
Managing Control - Governing BodyAdministrator Nov 1, 2015
Adp of the SNF Jun 22, 2025
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Soon Burnam Individual Corporate OfficerSecretary Ocotillo Healthcare, Inc. Dec 15, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Marietta Lim Uy, MD
    • Internal Medicine Physician
    • Phoenix, AZ
    • NPI 1891781290

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1851768865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W ELGIN ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245608",
            "telephone_number": "480-899-6717",
            "fax_number": "480-899-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W ELGIN ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245608",
            "telephone_number": "480-899-6717",
            "fax_number": "480-899-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "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": "AZ",
            "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": "Chandler Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chandler Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.