NPIMap

Organization Active NPI

Truckee Meadows Healthcare, Inc.

Doing business as Hearthstone Health and Rehabilitation

  • Skilled Nursing Facility
  • Sparks, NV
National Provider Identifier
1891577060
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TRUCKEE MEADOWS HEALTHCARE, INC.
Doing business as
Hearthstone Health and Rehabilitation
Practice address
1950 Baring Blvd
Sparks, NV 89434-6735
Phone
(775) 626-2224
NPI assigned
Oct 20, 2023
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

1950 Baring Blvd
Sparks, NV 89434-6735

Mailing address

29222 Rancho Viejo Rd Ste 127
San Juan Capistrano, CA 92675-1049
Phone (949) 487-9500

Other names 1

  • Hearthstone Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240226000977 NV Part A Provider - Skilled Nursing Facility 5092150409 Practice locations: Sparks, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891577060. Details of each certification follow.

Skilled nursing facility certification: CCN 295044

Legal name
TRUCKEE MEADOWS HEALTHCARE, INC.
Doing business as
HEARTHSTONE HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 6, 1989
Last certification
Mar 3, 2025
Beds
125
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 20, 2023 in NV
Enrollment address
1950 Baring Blvd
Sparks, NV 89434-6735
Nursing home name
HEARTHSTONE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hearthstone Health and RehabilitationCCN 295044 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 6, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
125109.9 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $48,721

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
29D0539442Hearthstone Health and Rehabilitation1950 Baring Blvd, Sparks, NV 89434Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Denver Miller Individual Adp of the SNF Apr 4, 2025
Susan Magluilo Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Apr 4, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Oct 20, 2023 100%
Ami Sato Individual Corporate OfficerTreasurer Sep 9, 2024
Stephen W Farnsworth Individual Corporate DirectorDirector Jan 1, 2024
Milestone Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Oct 20, 2023 100%
Tyler Hoopes Individual Corporate OfficerPresident Jan 1, 2024
Craig Fitch Individual Corporate OfficerSecretary Oct 20, 2023
Soon Burnam Individual Corporate OfficerTreasurer Oct 20, 2023

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 6

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

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1891577060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD STE 127",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751049",
            "telephone_number": "949-487-9500",
            "fax_number": "949-540-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346735",
            "telephone_number": "775-626-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCKEE MEADOWS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "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": [
        {
            "organization_name": "Hearthstone Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.