NPIMap

Organization Active NPI

Starburst Healthcare, Inc.

Doing business as Chatsworth Park Health Care Center

  • Skilled Nursing Facility
  • Chatsworth, CA
National Provider Identifier
1881307346
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STARBURST HEALTHCARE, INC.
Doing business as
Chatsworth Park Health Care Center
Practice address
10610 Owensmouth Ave
Chatsworth, CA 91311-2151
Phone
(818) 882-3200
NPI assigned
Dec 29, 2022
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

10610 Owensmouth Ave
Chatsworth, CA 91311-2151

Mailing address

10610 Owensmouth Ave
Chatsworth, CA 91311-2151
Phone (818) 882-3200

Other names 1

  • Chatsworth Park Health Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230331002255 CA Part A Provider - Skilled Nursing Facility 9638544893 Practice locations: Chatsworth, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881307346. Details of each certification follow.

Skilled nursing facility certification: CCN 056351

Legal name
STARBURST HEALTHCARE INC
Doing business as
CHATSWORTH PARK HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 20, 1973
Last certification
Apr 24, 2025
Beds
128
Ownership / control type
Limited Liability Corporation
Multi-facility organization
FLAGSTONE CENTRAL
Organization structure
CorporationProprietary
Incorporated
Nov 8, 2022 in NV
Enrollment address
10610 Owensmouth Ave
Chatsworth, CA 91311-2151
Nursing home name
CHATSWORTH PARK HEALTH CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Chatsworth Park Health Care CenterCCN 056351 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 20, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
128118.0 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
2Fines totaling $46,280

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Barry M Smith Individual Corporate DirectorBoard Member Nov 1, 2022
Ann Scott Blouin Individual Corporate DirectorBoard Member Nov 1, 2022
Barry Port Individual Corporate OfficerCeo Nov 1, 2022
John O Agwunobi Individual Corporate DirectorBoard Member Nov 1, 2022
Sonia Ly Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Mar 19, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2023 100%
Adam Willits Individual Corporate DirectorDirector Nov 1, 2022
Ami Sato Individual Corporate OfficerTreasurer Sep 9, 2024
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Nov 8, 2022 100%
Alicia Gamero Individual Corporate OfficerPresident Nov 1, 2022
Christopher R Christensen Individual Corporate DirectorBoard Chairman Nov 1, 2022
Mark V Parkinson Individual Corporate DirectorBoard Member Oct 21, 2024
Daren Shaw Individual Corporate DirectorBoard Member Nov 1, 2022
Swati Abbott Individual Corporate DirectorBoard Member Nov 1, 2022
Suzanne D Snapper Individual Corporate OfficerCfo Nov 1, 2022
Corporate DirectorBoard Member Nov 1, 2022
Spencer W Burton Individual Corporate OfficerPresident Nov 1, 2022
Craig Fitch Individual Corporate OfficerSecretary Nov 8, 2022
Soon Burnam Individual Corporate OfficerSecretary Oct 17, 2023

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1881307346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 OWENSMOUTH AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112151",
            "telephone_number": "818-882-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 OWENSMOUTH AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112151",
            "telephone_number": "818-882-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBURST HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-28",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "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": "Chatsworth Park Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatsworth, CA

Sources for this page

Verify at the official NPI Registry.