NPIMap

Organization Active NPI

Sante SNF Op Co, LLC

  • Skilled Nursing Facility
  • Silverdale, WA
National Provider Identifier
1033475769
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SANTE SNF OP CO, LLC
Practice address
2321 NW Schold PL
Silverdale, WA 98383-9504
Phone
(360) 698-3930
Fax
(360) 613-9520
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacob Schaefer
Title
Executive Vice President
Phone
(503) 201-8356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2321 NW Schold PL
Silverdale, WA 98383-9504

Mailing address

1220 20TH St SE
Suite 310
Salem, OR 97302-1205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190430001107 WA Part A Provider - Skilled Nursing Facility 6204090962 Practice locations: Silverdale, WA

Skilled nursing facility certification: CCN 505484

Legal name
SANTE SNF OP CO, LLC
Doing business as
NORTHWOODS LODGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1994
Last certification
Jan 13, 2025
Beds
57
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Alumus
Organization structure
LLCProprietary
Enrollment address
2321 NW Schold PL
Silverdale, WA 98383-9504
Nursing home name
NORTHWOODS LODGE
Affiliated entity
SANTE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northwoods LodgeCCN 505484
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5752.6 residents per day on average
Chain
Sante5 facilities in the chain
Penalties (3 years)
1Fines totaling $51,942

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sante Holdings LLC Organization, Salem, OR LLC 5% Or Greater Indirect Ownership Interest Apr 2, 2012 33%
Jacob T Schaefer Individual Corporate OfficerExecutive Vice-President Apr 2, 2012
SP Silverdale LLC Organization, Salem, OR LLC 5% Or Greater Direct Ownership Interest Apr 2, 2012 100%
Munch Tooke, LLC Organization, Camas, WA LLC 5% Or Greater Indirect Ownership Interest Apr 2, 2012 47.5%
Charles M Hansen Individual 5% Or Greater Indirect Ownership Interest Apr 2, 2012 15%
Operational/Managerial ControlManager Apr 2, 2012 50%
Sante Partners II LLC Organization, Salem, OR LLC 5% Or Greater Indirect Ownership Interest Apr 2, 2012 33%
Michael T Munch Individual 5% Or Greater Indirect Ownership Interest Apr 2, 2012 12%
Operational/Managerial ControlManager Apr 2, 2012 50%
Arthur a Tooke Individual 5% Or Greater Indirect Ownership Interest Apr 2, 2012 12%
SP Re Silverdale LLC Organization, Salem, OR LLC 5% Or Greater Indirect Ownership Interest Apr 2, 2012 47.5%
Melissa Halverson Individual 5% Or Greater Indirect Ownership Interest Apr 2, 2018 5%

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1033475769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 20TH ST SE",
            "address_2": "SUITE 310",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 NW SCHOLD PL",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839504",
            "telephone_number": "360-698-3930",
            "fax_number": "360-613-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTE SNF OP CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "503-201-8356"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.