OrganizationActive
Lake Island Healthcare, Inc.
NPI 1902450604 · Skilled Nursing Facility · Delta, CO
Lake Island Healthcare, Inc. is a Skilled Nursing Facility organization in Delta, CO (NPI 1902450604).
Provider details
- NPI number
- 1902450604
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Treasurer(949) 540-1249
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
2050 S Main St
Delta, CO 81416-2407
Phone: (970) 874-9773
Street-level locationGet directions
Mailing address
2050 S Main St
Delta, CO 81416-2407
Other names (DBA / former)
- Doing business as
- Willow Tree Care Center
- Doing business as
- Willow Tree Care Center
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 2019-07-31
Frequently asked questions
- What is Lake Island Healthcare, Inc.'s NPI number?
- Lake Island Healthcare, Inc.'s National Provider Identifier (NPI) is 1902450604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Island Healthcare, Inc.?
- Lake Island Healthcare, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lake Island Healthcare, Inc. located?
- Lake Island Healthcare, Inc.'s practice location on file with NPPES is 2050 S Main St, Delta, CO 81416-2407.
- What is Lake Island Healthcare, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Island Healthcare, Inc. is (970) 874-9773.
- Who is the authorized official for Lake Island Healthcare, Inc.?
- The authorized official listed on Lake Island Healthcare, Inc.'s NPPES record is Soon Burnam, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Island Healthcare, Inc.'s NPI active?
- Yes — Lake Island Healthcare, Inc.'s NPI (1902450604) is active in the NPPES registry as of the last update on 2019-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.