NPIMap

Organization Active NPI

Western Canal Healthcare LLC

Doing business as Tempe Post Acute

  • Skilled Nursing Facility
  • Tempe, AZ
National Provider Identifier
1639791890
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WESTERN CANAL HEALTHCARE LLC
Doing business as
Tempe Post Acute
Practice address
6100 S Rural Rd
Tempe, AZ 85283-2904
Phone
(480) 831-8660
NPI assigned
May 11, 2020
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

6100 S Rural Rd
Tempe, AZ 85283-2904

Mailing address

6100 S Rural Rd
Tempe, AZ 85283-2904
Phone (480) 831-8660

Other names 1

  • Tempe Post Acute Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200714002324 AZ Part A Provider - Skilled Nursing Facility 4880017581 Practice locations: Tempe, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639791890. Details of each certification follow.

Skilled nursing facility certification: CCN 035106

Legal name
WESTERN CANAL HEALTHCARE LLC
Doing business as
TEMPE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 29, 1985
Last certification
Nov 21, 2024
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Ensign Group
Organization structure
LLCProprietary
Incorporated
Apr 20, 2020 in NV
Enrollment address
6100 S Rural Rd
Tempe, AZ 85283-2904
Nursing home name
TEMPE POST ACUTE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tempe Post AcuteCCN 035106 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 29, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6070.5 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Desert Marigold Senior Living of Tempe3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Neeraj K Vij Individual Operational/Managerial Control Aug 1, 2020
Managing Control - Governing BodyMedical Director Aug 1, 2020
Adp of the SNF Aug 1, 2020
Elati Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Jan 1, 2022
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Apr 20, 2020 100%
Adp of the SNF Jan 1, 2022
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Aug 1, 2020
Forrest Peterson Individual Corporate OfficerSole Manager Western Canal Healthca Apr 20, 2020
Organization, San Juan Capistrano, CA LLC Adp of the SNF Jan 1, 2022
Bandera Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Apr 20, 2020 100%
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Jan 1, 2014
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2022
Amador Ortega Individual Operational/Managerial ControlOperations Manager Aug 1, 2020
Managing Control - Governing BodyAdministrator Aug 1, 2020
Adp of the SNF Aug 1, 2020
Soon Burnam Individual Corporate OfficerSecretary Western Canal Healthcare Apr 20, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Neeraj Vij, M.D.
    • Hospitalist Physician
    • Cottonwood, AZ
    • NPI 1528054921

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1639791890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 S RURAL RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832904",
            "telephone_number": "480-831-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S RURAL RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832904",
            "telephone_number": "480-831-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CANAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tempe Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tempe Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.