Organization Active NPI

Asrv, LLC

  • Skilled Nursing Facility
  • San Juan Capistrano, CA
National Provider Identifier
1720675317
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ASRV, LLC
Practice address
31741 Rancho Viejo Rd
San Juan Capistrano, CA 92675-6722
Phone
(949) 248-8855
NPI assigned
Dec 29, 2020
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Jeffrey Bradshaw
Title
Manager
Phone
(949) 347-7100

Specialties & licenses 1

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

Addresses

Primary practice location

31741 Rancho Viejo Rd
San Juan Capistrano, CA 92675-6722

Mailing address

28202 Cabot Rd Ste 412
Laguna Niguel, CA 92677-1271
Phone (949) 370-7130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309000590 CA Part A Provider - Skilled Nursing Facility 8224422217 Practice locations: San Juan Capistrano, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720675317. Details of each certification follow.

Skilled nursing facility certification: CCN 555763

Legal name
ASRV LLC
Doing business as
SAN JUAN HILLS HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Aug 31, 2000
Last certification
Nov 15, 2024
Beds
45
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
31741 Rancho Viejo Rd
San Juan Capistrano, CA 92675-6722
Nursing home name
SAN JUAN HILLS HEALTHCARE CENTER
Affiliated entity
ASPEN SKILLED HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
San Juan Hills Healthcare CenterCCN 555763 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Aug 31, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4542.4 residents per day on average
Chain
Aspen Skilled Healthcare35 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0964888Asrv, LLC Dba San Juan Hills Healthcare Center31741 Rancho Viejo Rd, San Juan Capistrano, CA 92675Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Craig Orgill Individual Indirect Ownership Interest Nov 3, 2021 1.3%
Jared Kirkwood Individual Indirect Ownership Interest Nov 3, 2021 0.3%
Eric Elsner Individual Indirect Ownership Interest Nov 3, 2021 4.08%
Jeffrey J Bradshaw Individual Managing Control - Governing BodyLLC Manager Jan 1, 2023
Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Nov 3, 2021 22.25%
Timothy Caslmon Individual Operational/Managerial Control Jan 1, 2023
Managing Control - Governing BodyLLC Manager Jan 1, 2023
Adp of the SNF Jan 1, 2023
Ryan M Case Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Nov 3, 2021 31.77%
Marcus J Paxman Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Apr 1, 2022 0.01%
Huan C Guu Individual Adp of the SNF Jun 1, 2009
Aspen Skilled Healthcare Inc Organization, Laguna Niguel, CA Corporation, For-profit, Owned by another organization or individual Indirect Ownership Interest Nov 3, 2021 100%
Aspen Healthcare Services LLC Organization, Laguna Niguel, CA LLC, Consulting firm, For-profit, Chain home office Adp of the SNF Jan 1, 2023
Lanie Sta Ana Individual Operational/Managerial Control Feb 1, 2022
Adp of the SNF Feb 1, 2022
Spencer Nordfelt Individual Operational/Managerial Control Jan 3, 2022
Adp of the SNF Jan 3, 2022
Sacc LLC Organization, Laguna Niguel, CA LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Nov 3, 2021 100%
Stephen Thompson Individual Operational/Managerial Control Jan 1, 2023
Managing Control - Governing BodyLLC Manager Jan 1, 2023
Adp of the SNF Jan 1, 2023
East West Bank Organization, Pasadena, CA Corporation, Financial institution, For-profit Adp of the SNF Aug 6, 2020
Frank Jurado Individual Adp of the SNF Jan 1, 2023
Vern J Brady Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Nov 3, 2021 31.95%
Asrv LLC Organization, Laguna Niguel, CA LLC, For-profit Operational/Managerial Control Nov 3, 2021
Adp of the SNF Nov 3, 2021
Direct Ownership Interest Nov 3, 2021 100%
Shruty Parti Individual Indirect Ownership Interest Nov 3, 2021 4.08%
Peter Bradshaw Individual Indirect Ownership Interest Jul 7, 2023 0.09%
Rajesh Parti Individual Indirect Ownership Interest Nov 3, 2021 4.08%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1720675317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28202 CABOT RD STE 412",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771271",
            "telephone_number": "949-370-7130",
            "fax_number": "949-347-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31741 RANCHO VIEJO RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756722",
            "telephone_number": "949-248-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASRV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-347-7100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.