Active NPI
Red Cliffs Healthcare, Inc.
- Skilled Nursing Facility
- Saint George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RED CLIFFS HEALTHCARE, INC.
- Practice address
- 1490 E Foremaster Dr BLDG B
Saint George, UT 84790-4510 - Phone
- (435) 674-5195
- Fax
- (435) 773-9594
- NPI assigned
- Feb 16, 2015
- 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 | UT | Primary |
Addresses
Primary practice location
1490 E Foremaster Dr BLDG B
Saint George, UT 84790-4510
Mailing address
1490 E Foremaster Dr BLDG B
Saint George, UT 84790-4510
Phone (435) 674-5195
Other names 1
- Coral Desert Rehabilitation and Care
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 UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150323001134 | UT | Part A Provider - Skilled Nursing Facility | 6305163841 | Practice locations: Saint George, UT |
Skilled nursing facility certification: CCN 465160
- Legal name
- RED CLIFFS HEALTHCARE INC
- Doing business as
- CORAL DESERT REHABILITATION AND CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Feb 3, 2005
- Last certification
- Nov 21, 2024
- Beds
- 60
- Ownership / control type
- Corporation
- Multi-facility organization
- Milestone Healthcare LLC
- Organization structure
- Corporation
- Incorporated
- Aug 29, 2013 in NV
- Enrollment address
- 1490 E Foremaster Dr
BLDG B
Saint George, UT 84790-4510 - Nursing home name
- CORAL DESERT REHABILITATION AND CARE
- Affiliated entity
- THE ENSIGN GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Coral Desert Rehabilitation and Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 3, 2005
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- The Ensign Group
National Provider Directory
National Provider Directory- Tax ID family
- Coral Desert Rehabilitation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Saint George, UT
- NPI 1558239707
Ownership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Nursa Inc | Operational/Managerial Control | Apr 1, 2015 | |
| The Ensign Group Inc | 5% Or Greater Indirect Ownership Interest | Nov 14, 2006 | 100% |
| Ensign Services Inc | Adp of the SNF | Apr 1, 2015 | |
| Ami Sato | Corporate Officer | Sep 9, 2024 | |
| Coral Desert Properties, LLC | Adp of the SNF | Apr 1, 2015 | |
| Chad Keetch | Corporate Officer | Mar 1, 2011 | |
| Stephen W Farnsworth | Corporate Director | Apr 1, 2015 | |
| Milestone Healthcare LLC | 5% Or Greater Direct Ownership Interest | Aug 30, 2013 | 100% |
| Tyler Hoopes | Corporate Officer | Jan 1, 2020 | |
| Operational/Managerial Control | Apr 1, 2015 | ||
| Managing Control - Governing Body | Apr 1, 2015 | ||
| Adp of the SNF | Apr 1, 2015 | ||
| Cory Gunn Cosgrave | Operational/Managerial Control | Jun 7, 2023 | |
| Managing Control - Governing Body | Jun 7, 2023 | ||
| Adp of the SNF | Jun 7, 2023 | ||
| Soon Burnam | Corporate Officer | Aug 30, 2013 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Sports Medicine (Family Medicine) Physician
- St George, UT
- NPI 1699266791
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Facilities with the same owner 11
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Bountiful, UT
- NPI 1962252213
Milestone Healthcare LLC
-
- Psychiatric Hospital Unit
- Salt Lake City, UT
- NPI 1144526997
Milestone Healthcare LLC
-
- Skilled Nursing Facility
- South Jordan, UT
- NPI 1710859210
Milestone Healthcare LLC
-
- Long Term Care Hospital
- Bountiful, UT
- NPI 1316797665
Milestone Healthcare LLC
-
- Skilled Nursing Facility
- Sparks, NV
- NPI 1891577060
Milestone Healthcare LLC
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1424044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623024000000",
"number": "1992196646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 E FOREMASTER DR BLDG B",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847904510",
"telephone_number": "435-674-5195",
"fax_number": "435-773-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 E FOREMASTER DR BLDG B",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847904510",
"telephone_number": "435-674-5195",
"fax_number": "435-773-9594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED CLIFFS HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-16",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"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": "UT",
"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": "Coral Desert Rehabilitation and Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.