Ensign Montgomery LLC
NPI 1104825520 · Skilled Nursing Facility · Santa Rosa, CA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ensign Montgomery LLC is a Skilled Nursing Facility organization in Santa Rosa, CA (NPI 1104825520).
Provider details
- NPI number
- 1104825520
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Treasurer(949) 540-1249
- License
- 010000062 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Park View Post Acute
- Doing business as
- Park View Post Acute
Registry dates
- Enumerated
- 2005-07-18
- Last updated
- 2021-02-17
- Certified
- 2021-02-17
Frequently asked questions
- What is Ensign Montgomery LLC's NPI number?
- Ensign Montgomery LLC's National Provider Identifier (NPI) is 1104825520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ensign Montgomery LLC?
- Ensign Montgomery LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ensign Montgomery LLC located?
- Ensign Montgomery LLC's practice location on file with NPPES is 3751 Montgomery Dr, Santa Rosa, CA 95405-5214.
- What is Ensign Montgomery LLC's phone number?
- The practice phone number listed in the NPPES registry for Ensign Montgomery LLC is (707) 525-1250.
- Does Ensign Montgomery LLC accept Medicare?
- Ensign Montgomery LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ensign Montgomery LLC?
- The authorized official listed on Ensign Montgomery LLC's NPPES record is Soon Burnam, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ensign Montgomery LLC's NPI active?
- Yes — Ensign Montgomery LLC's NPI (1104825520) is active in the NPPES registry as of the last update on 2021-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.