NPIMap

Organization Active NPI

Cress Creek Healthcare LLC

  • Skilled Nursing Facility
  • Rexburg, ID
National Provider Identifier
1962068601
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CRESS CREEK HEALTHCARE LLC
Practice address
660 S 2ND W
Rexburg, ID 83440-2300
Phone
(208) 356-0220
NPI assigned
May 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Soon Burnam
Title
Authorized Official
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

660 S 2ND W
Rexburg, ID 83440-2300

Mailing address

660 S 2ND W
Rexburg, ID 83440-2300
Phone (208) 356-0220

Other names 1

  • Temple View Transitional Care Center 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 ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190910000922 ID Part A Provider - Skilled Nursing Facility 9739418260 Practice locations: Rexburg, ID

Skilled nursing facility certification: CCN 135105

Legal name
CRESS CREEK HEALTHCARE LLC
Doing business as
TEMPLE VIEW TRANSITIONAL CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 2, 1988
Last certification
Oct 25, 2024
Beds
119
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ensign Group
Organization structure
LLCProprietary
Incorporated
May 14, 2019 in NV
Enrollment address
660 S 2ND W
Rexburg, ID 83440-2300
Nursing home name
TEMPLE VIEW TRANSITIONAL CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Temple View Transitional Care CenterCCN 135105
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 2, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11961.8 residents per day on average
Chain
The Ensign Group342 facilities in the chain

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
13D0521011Temple View Transitional Care Center660 South 2ND West, Rexburg, ID 83440Certificate 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
Pennant Healthcare LLC Organization, San Juan Capistrano, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2019 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2019 100%
Second West Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Sep 1, 2019
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation, For-profit Adp of the SNF Sep 1, 2019
Stephen W Farnsworth Individual Corporate DirectorSole Manager Cress Creek Healthcare Sep 1, 2019
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Sep 1, 2019
Tyson Munns Individual Operational/Managerial Control Oct 17, 2023
Managing Control - Governing BodyAdministrator Oct 17, 2023
Adp of the SNF Sep 23, 2025
Michael Packer Individual Operational/Managerial Control Sep 1, 2019
Managing Control - Governing BodyMedical Director Sep 1, 2019
Adp of the SNF Sep 23, 2025
Soon Burnam Individual Corporate OfficerSecretary Cress Creek Healthcare Sep 1, 2019
Managing Control - Governing BodyAuthorized Official Sep 1, 2019

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 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1962068601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S 2ND W",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402300",
            "telephone_number": "208-356-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 2ND W",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402300",
            "telephone_number": "208-356-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESS CREEK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "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_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": "Temple View Transitional Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.