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

PONCHA MOOR HEALTHCARE, INC
NPI 1962326660
Skilled Nursing Facility in Canon City, CO

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

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 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 1962326660), doing business as Skyline Ridge Health And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Canon City, Colorado and active in the NPI registry since August 2026. The organization lists Soon Burnam, Secretary, as its authorized official.

NPPES Registry Identity

NPI1962326660
Entity TypeOrganization
Primary Taxonomy314000000X
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
Fax(719) 275-6225
Organization SubpartNo
Authorized OfficialSoon BurnamSecretary · (949) 540-1249
Enumeration DateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
NPI 1962326660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
515 FAIRVIEW AVE, Canon City, CO 81212

Other Names 1

Doing Business AsSkyline Ridge Health And Rehabilitation

Other Providers at the Same Location NPPES 14

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

Specialist/Technologist (Speech-Language Assistant)
515 FAIRVIEW AVE
CANON CITY, CO 81212
Physical Therapist
515 FAIRVIEW AVE
CANON CITY, CO 81212
Social Worker (Clinical)
515 FAIRVIEW AVE
CANON CITY, CO 81212
Occupational Therapist
515 FAIRVIEW AVE
CANON CITY, CO 81212
Speech-Language Pathologist
515 FAIRVIEW AVE
CANON CITY, CO 81212
Skilled Nursing Facility
515 FAIRVIEW AVE
CANON CITY, CO 81212
Physical Therapy Assistant
515 FAIRVIEW AVE
CANON CITY, CO 81212
Physical Therapist
515 FAIRVIEW AVE
CANON CITY, CO 81212

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 1962326660. It was assigned to this organization in the NPPES registry on August 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 Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Poncha Moor Healthcare, Inc was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.