Organization Active NPI

Discovery Trail Healthcare, Inc.

  • Skilled Nursing Facility
  • Des Moines, IA
National Provider Identifier
1922558998
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Feb 23, 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 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 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 IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 MoinesCCN 165268 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7467.0 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

Ownership & 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.

NameRoleSinceShare
Elizabeth Hayden Individual Operational/Managerial ControlAdministrator Apr 1, 2017
Managing Control - Governing BodyAdministrator Apr 1, 2017
Adp of the SNF Apr 1, 2017
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation Indirect Ownership Interest Mar 27, 2017 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Aug 30, 2016
Ami Sato Individual Corporate OfficerTreasurer Discovery Trail Healthcar Sep 9, 2024
David Jorgensen Individual Corporate DirectorDirector Discovery Trail Healthcare Jan 1, 2024
Gateway Healthcare LLC Organization, San Juan Capistrano, CA LLC Direct Ownership Interest Mar 27, 2017 100%
Shipeng Wei Individual Operational/Managerial Control May 19, 2023
Managing Control - Governing BodyMedical Director May 19, 2023
Adp of the SNF May 19, 2023
Debra K Koenig Individual Corporate OfficerPresident Discovery Trail Healthcar Jan 1, 2020
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Soon Burnam Individual Corporate OfficerSecretary Discovery Trail Healthcar 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.

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

Verify at the official NPI Registry.