Active NPI
Beacon Hill Healthcare, Inc.
Doing business as Beacon Hill Rehabilitation
- Skilled Nursing Facility
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BEACON HILL HEALTHCARE, INC.
- Doing business as
- Beacon Hill Rehabilitation
- Practice address
- 128 Old Beacon Hill Dr
Longview, WA 98632-5854 - Phone
- (360) 423-4060
- Fax
- (360) 636-0958
- NPI assigned
- Feb 27, 2014
- 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 | WA | Primary |
Addresses
Primary practice location
128 Old Beacon Hill Dr
Longview, WA 98632-5854
Mailing address
128 Beacon Hill Dr
Longview, WA 98632-5859
Phone (360) 423-4060
Other names 1
- Beacon Hill Rehabilitation
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 WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140501000507 | WA | Part A Provider - Skilled Nursing Facility | 4688805070 | Practice locations: Longview, WA |
Skilled nursing facility certification: CCN 505294
- Legal name
- BEACON HILL HEALTHCARE, INC.
- Doing business as
- BEACON HILL REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 20, 1985
- Last certification
- Mar 7, 2025
- Beds
- 67
- Ownership / control type
- Corporation
- Multi-facility organization
- Pennant Healthcare
- Organization structure
- Corporation
- Enrollment address
- 128 Old Beacon Hill Dr
Longview, WA 98632-5854 - Nursing home name
- BEACON HILL REHABILITATION
- Affiliated entity
- THE ENSIGN GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Beacon Hill Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 20, 1985
- Medicare certification status
- Active
- Certified beds
- 67
- Chain
- The Ensign Group
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| Steve M Ross | Corporate Officer | Jan 1, 2024 | |
| Operational/Managerial Control | May 1, 2014 | ||
| Managing Control - Governing Body | May 1, 2014 | ||
| Adp of the SNF | May 1, 2014 | ||
| Pennant Healthcare LLC | 5% Or Greater Direct Ownership Interest | Feb 25, 2014 | 100% |
| The Ensign Group Inc | 5% Or Greater Indirect Ownership Interest | Sep 1, 2012 | 100% |
| Ensign Services Inc | Adp of the SNF | Jul 1, 2014 | |
| Ami Sato | Corporate Officer | Sep 9, 2024 | |
| Craig Alan Riley | Operational/Managerial Control | Jan 1, 2025 | |
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Ventas, Inc. | Adp of the SNF | Feb 28, 2024 | |
| Chad Keetch | Corporate Officer | Mar 1, 2011 | |
| Stephen W Farnsworth | Corporate Director | Jan 1, 2023 | |
| Soon Burnam | Corporate Officer | Feb 25, 2014 |
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
- Vancouver, WA
- NPI 1184940827
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Facilities with the same owner 27
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Oaks at Lakewood
- Skilled Nursing Facility
- Lakewood, WA
- NPI 1861073603
Pennant Healthcare LLC
-
dba The Oaks at Timberline
- Skilled Nursing Facility
- Vancouver, WA
- NPI 1407432164
Pennant Healthcare LLC
-
dba Bainbridge Island Health and Rehabilitation Center
- Skilled Nursing Facility
- Bainbridge Island, WA
- NPI 1558752543
Pennant Healthcare LLC
-
dba Pacific Care and Rehabilitation
- Skilled Nursing Facility
- Hoquiam, WA
- NPI 1902892615
Pennant Healthcare LLC
-
dba South Hill Rehabilitation and Care Center
- Skilled Nursing Facility
- Spokane, WA
- NPI 1841027661
Pennant Healthcare LLC
-
dba Mira Vista Care Center
- Skilled Nursing Facility
- Mount Vernon, WA
- NPI 1578149233
Pennant Healthcare LLC
-
dba Lynnwood Post Acute Rehabilitation Center
- Skilled Nursing Facility
- Lynnwood, WA
- NPI 1760439467
Pennant Healthcare LLC
-
dba Park Manor Rehabilitation Center
- Skilled Nursing Facility
- Walla Walla, WA
- NPI 1558360024
Pennant Healthcare LLC
-
- Skilled Nursing Facility
- Bremerton, WA
- NPI 1205546579
Pennant Healthcare LLC
-
dba Redmond Care and Rehabilitation Center
- Skilled Nursing Facility
- Redmond, WA
- NPI 1306186622
Pennant Healthcare LLC
-
dba Rainier Rehabilitation
- Skilled Nursing Facility
- Puyallup, WA
- NPI 1407271430
Pennant Healthcare LLC
-
dba Olympia Transitional Care and Rehabilitation
- Skilled Nursing Facility
- Olympia, WA
- NPI 1740671734
Pennant Healthcare LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Longview, WA
- NPI 1245237262
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1184940827
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": "1393459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681776000000",
"number": "1972928901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 BEACON HILL DR",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986325859",
"telephone_number": "360-423-4060",
"fax_number": "360-636-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 OLD BEACON HILL DR",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986325854",
"telephone_number": "360-423-4060",
"fax_number": "360-636-0958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACON HILL HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-27",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"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": "WA",
"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": "Beacon Hill Rehabilitation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Beacon Hill Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.