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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PONCHA MOOR HEALTHCARE, INC
NPI 1366346256
Respite Care in Canon City, CO

Active since October 05, 2026
515 FAIRVIEW AVE, CANON CITY, CO 81212(719) 275-0665(719) 275-6225 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Poncha Moor Healthcare, Inc NPPES

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

PONCHA MOOR HEALTHCARE, INC (NPI 1366346256), doing business as Skyline Ridge Health And Rehabilitation, is a healthcare organization registered as a respite care in Canon City, Colorado and active in the NPI registry since October 2026. The organization lists Soon Burnam, Secretary, as its authorized official.

NPPES Registry Identity

NPI1366346256
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NamePONCHA MOOR HEALTHCARE, INC
Location Address515 FAIRVIEW AVECanon City, CO 81212-2863
Mailing Address515 Fairview AveCanon City, CO 81212-2863 · (719) 275-0665 · Fax (719) 275-6225
Phone(719) 275-0665
Fax(719) 275-6225
Organization SubpartNo
Authorized OfficialSoon BurnamSecretary · (949) 540-1249
Enumeration DateOctober 5, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1366346256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
515 FAIRVIEW AVE, Canon City, CO 81212
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Other Names 1

Doing Business AsSkyline Ridge Health And Rehabilitation

Other Providers at the Same Location NPPES 15

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

KYLIE ERIN DUNNE MA, CF-SLP
Specialist/Technologist (Speech-Language Assistant)
515 FAIRVIEW AVE
CANON CITY, CO 81212
Fremont County (719) 275-0665
JENNIFER HARE DPT
Physical Therapist
515 FAIRVIEW AVE
CANON CITY, CO 81212
Fremont County (719) 275-0665
SYLVIA RAYE STRICKLAND LCSW
Social Worker (Clinical)
515 FAIRVIEW AVE
CANON CITY, CO 81212
Fremont County (719) 275-0665
YASHA JAFFUEL
Occupational Therapist
515 FAIRVIEW AVE
CANON CITY, CO 81212
Fremont County (719) 275-0665
KRISTINA CHAMBERS NEUMYER MS
Speech-Language Pathologist
515 FAIRVIEW AVE
CANON CITY, CO 81212
Fremont County (719) 275-0665
FIVE STAR QUALITY CARE-COLORADO LLC
Skilled Nursing Facility
515 FAIRVIEW AVE
CANON CITY, CO 81212
Fremont County (719) 275-0665
KELLY LEIGH KIERSTEAD PTA
Physical Therapy Assistant
515 FAIRVIEW AVE
CANON CITY, CO 81212
Fremont County (719) 275-0665
WILLIAM REYNOLDS
Physical Therapist
515 FAIRVIEW AVE
CANON CITY, CO 81212
Fremont County (719) 275-0665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poncha Moor Healthcare, Inc's NPI number?

The NPI number for Poncha Moor Healthcare, Inc is 1366346256. It was assigned to this organization in the NPPES registry on October 5, 2026. The provider is doing business as Skyline Ridge Health and Rehabilitation.

Where is Poncha Moor Healthcare, Inc located?

Poncha Moor Healthcare, Inc is located at 515 Fairview Ave, Canon City, CO 81212. The listed phone number is (719) 275-0665.

What is Poncha Moor Healthcare, Inc's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Poncha Moor Healthcare, Inc was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.