NPIMap

Organization Active NPI

Castle Rock Healthcare, Inc.

  • Skilled Nursing Facility
  • Lakewood, CO
National Provider Identifier
1891405650
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CASTLE ROCK HEALTHCARE, INC.
Practice address
115 Ingalls St
Lakewood, CO 80226-1815
Phone
(303) 237-1325
Fax
(303) 237-3397
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 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

115 Ingalls St
Lakewood, CO 80226-1815

Mailing address

115 Ingalls St
Lakewood, CO 80226-1815
Phone (303) 237-1325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230706000611 CO Part A Provider - Skilled Nursing Facility 1658730809 Practice locations: Lakewood, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891405650. Details of each certification follow.

Skilled nursing facility certification: CCN 065097

Legal name
CASTLE ROCK HEALTHCARE, INC.
Doing business as
MAPLETON POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1968
Last certification
Dec 5, 2024
Beds
90
Ownership / control type
Corporation
Multi-facility organization
Ensign
Most recent change of ownership
Mar 1, 2023
Organization structure
CorporationProprietary
Incorporated
Sep 19, 2022 in NV
Enrollment address
115 Ingalls St
Lakewood, CO 80226-1815
Nursing home name
MAPLETON POST ACUTE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mapleton Post AcuteCCN 065097 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9076.0 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
Castle Rock 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 11

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

NameRoleSinceShare
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2023 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Sep 19, 2022
Ami Sato Individual Corporate OfficerTreasurer Castle Rock Healthcare, I Sep 9, 2024
Endura Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Sep 19, 2022 100%
David Jorgensen Individual Corporate DirectorDirector Castle Rock Healthcare, in Mar 1, 2023
Christopher S Horton Individual Operational/Managerial Control Mar 1, 2023
Managing Control - Governing BodyMedical Director Mar 1, 2023
Adp of the SNF Mar 1, 2023
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
David Dunyon Individual Corporate OfficerPresident Castle Rock Healthcare, I Mar 1, 2023
Garden Investment Co., LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Mar 1, 2023
Dontre McDonald Individual Operational/Managerial ControlAdministrator Mar 1, 2023
Managing Control - Governing BodyAdministrator Mar 1, 2023
Adp of the SNF Mar 1, 2023
Soon Burnam Individual Corporate OfficerSecretary Castle Rock Healthcare, I Sep 19, 2022

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 26

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

View all 26

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1891405650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 INGALLS ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261815",
            "telephone_number": "303-237-1325",
            "fax_number": "303-237-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 INGALLS ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261815",
            "telephone_number": "303-237-1325",
            "fax_number": "303-237-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE ROCK HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "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": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.