Active NPI
Discovery Trail Healthcare, Inc.
- Skilled Nursing Facility
- Des Moines, IA
National Provider Identifier
1922558998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- DISCOVERY TRAIL HEALTHCARE, INC.
- Doing business as
- Rehabilitation Center of Des Moines
- Practice address
- 701 Riverview St
Des Moines, IA 50316-2343 - Phone
- (515) 266-1106
- Fax
- (515) 266-5906
- NPI assigned
- Oct 13, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | IA | Primary |
Addresses
Primary practice location
701 Riverview St
Des Moines, IA 50316-2343
Mailing address
701 Riverview St
Des Moines, IA 50316-2343
Phone (515) 266-1106
Other names 1
- Rehabilitation Center of Des Moines
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170405001399 | IA | Part A Provider - Skilled Nursing Facility | 8426334426 | Practice locations: Des Moines, IA |
Skilled nursing facility certification: CCN 165268
- Legal name
- DISCOVERY TRAIL HEALTHCARE, INC.
- Doing business as
- REHABILITATION CENTER OF DES MOINES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1996
- Last certification
- Oct 17, 2024
- Beds
- 74
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Enrollment address
- 701 Riverview St
Des Moines, IA 50316-2343 - Nursing home name
- REHABILITATION CENTER OF DES MOINES
- Affiliated entity
- THE ENSIGN GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Rehabilitation Center of Des Moines
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 1, 1996
- Medicare certification status
- Active
- Certified beds
- 74
- Chain
- The Ensign Group
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Elizabeth Hayden | Operational/Managerial Control | Apr 1, 2017 | |
| Managing Control - Governing Body | Apr 1, 2017 | ||
| Adp of the SNF | Apr 1, 2017 | ||
| The Ensign Group Inc | Indirect Ownership Interest | Mar 27, 2017 | 100% |
| Ensign Services Inc | Adp of the SNF | Aug 30, 2016 | |
| Ami Sato | Corporate Officer | Sep 9, 2024 | |
| David Jorgensen | Corporate Director | Jan 1, 2024 | |
| Gateway Healthcare LLC | Direct Ownership Interest | Mar 27, 2017 | 100% |
| Shipeng Wei | Operational/Managerial Control | May 19, 2023 | |
| Managing Control - Governing Body | May 19, 2023 | ||
| Adp of the SNF | May 19, 2023 | ||
| Debra K Koenig | Corporate Officer | Jan 1, 2020 | |
| Chad Keetch | Corporate Officer | Mar 1, 2011 | |
| Soon Burnam | Corporate Officer | Mar 27, 2017 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Des Moines, IA
- NPI 1023469798
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Practitioners & affiliated clinicians
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": "1476316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614038400000",
"number": "1922558998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 RIVERVIEW ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162343",
"telephone_number": "515-266-1106",
"fax_number": "515-266-5906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 RIVERVIEW ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162343",
"telephone_number": "515-266-1106",
"fax_number": "515-266-5906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISCOVERY TRAIL HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-13",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"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": "IA",
"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": "Rehabilitation Center of Des Moines",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rehabilitation Center of Des Moines",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.