DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ENSIGN PALM I LLC

MEDICARE: ENSIGN PALM I LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility250000128CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295734713
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENSIGN PALM I LLC
Provider Business Mailing Address
First Line : 2990 E RAMON RD
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-7931
Country : US
Telephone Number : 760-323-2638
Fax Number : 760-323-1723
Provider Business Practice Location Address
First Line : 2990 E RAMON RD
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-7931
Country : US
Telephone Number : 760-323-2638
Fax Number : 760-323-1723
Authorized Official
Title or Position : TREASURER
Name : SOON BURNAM
Credential :
Telephone Number : 949-540-1249
Provider Enumeration Date : 07/18/2005
Last Update Date : 02/17/2021

Similar Medicare Providers

1548633100 — PREMIER CARE CENTER
Practice Location Address:
2990 E RAMON RD
PALM SPRINGS, CA
92264-7931
Practice Phone: 951-689-5788
Practice Fax: 951-689-9231
1881136380 — TIMOTHY MIDDICK
Practice Location Address:
2990 E RAMON RD
PALM SPRINGS, CA
92264-7931
Practice Phone: 760-323-2638
Practice Fax:
1023550530 — DON BLOMQUIST
Practice Location Address:
2990 E RAMON RD
PALM SPRINGS, CA
92264-7931
Practice Phone: 760-323-2638
Practice Fax:
1942742473 — RANDELL THOMAS COTA/L
Practice Location Address:
2990 E RAMON RD
PALM SPRINGS, CA
92264-7931
Practice Phone: 760-323-2638
Practice Fax:
1457893851 — KARA DUNCAN
Practice Location Address:
2990 E RAMON RD
PALM SPRINGS, CA
92264-7931
Practice Phone: 760-323-2638
Practice Fax:
1801339114 — CRAIG LENT
Practice Location Address:
2990 E RAMON RD
PALM SPRINGS, CA
92264-7931
Practice Phone: 760-323-2638
Practice Fax:

Directions to “ENSIGN PALM I LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.