Sanderson Lake Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SANDERSON LAKE HEALTHCARE, INC.

Practice address

1655 Eaton St
Lakewood, CO 80214-1628

Phone

(303) 238-5363

Fax

(303) 238-7062

NPI assigned

Sep 10, 2025

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Secretary

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Edgewater Health and Rehabilitation Doing business as

Tax ID family

Edgewater Health and Rehabilitation2 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.

• Sanderson Lake Healthcare, Inc.

  • Respite Care
  • Lakewood, CO
  • NPI 1063368454
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1962383323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 EATON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141628",
            "telephone_number": "303-238-5363",
            "fax_number": "303-238-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 EATON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141628",
            "telephone_number": "303-238-5363",
            "fax_number": "303-238-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERSON LAKE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "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": [
        {
            "organization_name": "Edgewater Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher James Sande, D.C.
• Constance Sanders, LPC
• Jay Danford Sanders, DC
• Suzette Sanders
• Sanderson Lake Healthcare, Inc.
• Sandra B Goldhaber LCSW Inc
• Farahnoz Sanginova
• Kali Denise Sanoy
• Kelci Sansoni, LCSW
• Kelley Santillana

• Skilled Nursing Facility in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.