PARK VIEW POST ACUTE
NPI 1104825520
Skilled Nursing Facility in Santa Rosa, CA

Q: What is Ensign Montgomery LLC's NPI number?

The NPI number for Ensign Montgomery LLC is 1104825520. It was assigned to this organization in the NPPES registry on July 18, 2005. The provider is doing business as Park View Post Acute.

Q: What is Ensign Montgomery LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: What quality rating does Ensign Montgomery LLC have?

CMS rates Park View Post Acute 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since July 18, 2005CLIA 05D0724450 · Waiver

3/5

Overall Rating

3751 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 525-1250(707) 525-1080 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Park View Post Acute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK VIEW POST ACUTE (NPI 1104825520) is a healthcare organization registered as a skilled nursing facility in Santa Rosa, California and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1104825520

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameENSIGN MONTGOMERY LLC

Location Address3751 MONTGOMERY DRSanta Rosa, CA 95405-5214

Mailing Address3751 Montgomery DrSanta Rosa, CA 95405-5214 · (707) 525-1250 · Fax (707) 525-1080

Phone(707) 525-1250

Fax(707) 525-1080

Organization SubpartNo

Authorized OfficialSoon BurnamTreasurer · (949) 540-1249

Enumeration DateJuly 18, 2005

Last NPPES UpdateFebruary 17, 2021

NPPES CertifiedFebruary 17, 2021

✔ NPI 1104825520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in CA · 010000062

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

3751 MONTGOMERY DR, Santa Rosa, CA 95405

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Other Names 1

Doing Business AsPark View Post Acute

Other Identifiers 1

MedicaidZZR06411ICA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0724450

Park View Post Acute · Santa Rosa, CA

Active · expires Aug 31, 2026

CLIA Number05D0724450

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJames H. Devore MD

Laboratory Phone(707) 525-1250

Laboratory LocationPark View Post Acute3751 Montgomery Dr, Santa Rosa, CA 95405

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Park View Post Acute (CMS certification number 056411), from CMS Care Compare.

Park View Post Acute

Nursing home · Santa Rosa, CA

3/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number056411

Certified Beds116 beds108 residents per day on average

Medicare & Medicaid Participant SinceFebruary 1, 1975

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

96.67

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.51 · LPN 1.45 · RN 0.39

4.35 hrs per resident per day

Weekend Nurse Staffing

3.92 hrs per resident per day

Physical Therapist Staffing

0.08 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

30.7%

Registered Nurse Turnover

58.3%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON CALDERON OTD, OTR/L

Occupational Therapist