NPIMap

Organization Active NPI

Asante TRC of Surprise LLC

  • Skilled Nursing Facility
  • Surprise, AZ
National Provider Identifier
1992096101
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ASANTE TRC OF SURPRISE LLC
Practice address
14775 W. Yorkshire Dr.
Surprise, AZ 85374-7213
Phone
(623) 594-5050
Fax
(623) 594-5074
NPI assigned
Apr 21, 2011
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 AZ Primary

Addresses

Primary practice location

14775 W. Yorkshire Dr.
Surprise, AZ 85374-7213

Mailing address

14775 W. Yorkshire Dr.
Surprise, AZ 85374-7213
Phone (623) 594-5050

Other names 1

  • Sante of Surprise Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110722000655 AZ Part A Provider - Skilled Nursing Facility 6103094859 Practice locations: Surprise, AZ

Skilled nursing facility certification: CCN 035282

Legal name
ASANTE TRC OF SURPRISE LLC
Doing business as
SANTE OF SURPRISE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Oct 24, 2011
Last certification
Jul 3, 2024
Beds
70
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Asante Trc of Surprise LLC
Organization structure
LLCProprietary
Incorporated
Feb 5, 2010 in AZ
Enrollment address
14775 W Yorkshire Dr
Surprise, AZ 85374-7224
Nursing home name
SANTE OF SURPRISE
Affiliated entity
SANTE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sante Of SurpriseCCN 035282
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Oct 24, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7067.7 residents per day on average
Chain
Sante5 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
03D2025038Asante TRC of Surprise, LLC14775 W Yorkshire Drive, Surprise, AZ 85374Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory

Locations

14775 W Yorkshire Dr
Surprise, AZ 85374
Phone (623) 377-9698

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
SP Surprise LLC Organization, Salem, OR Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Sep 19, 2011 49%
Jacob T Schaefer Individual 5% Or Greater Direct Ownership InterestDirector Jan 1, 2022 5.94%
Wasser & Winters Co Organization, Longview, WA LLC 5% Or Greater Direct Ownership Interest Sep 19, 2011 7.84%
Shannon Ingels Individual Contracted Managing EmployeeAdministrator Oct 1, 2021 50%
Munch Tooke, LLC Organization, Vancouver, WA LLC 5% Or Greater Direct Ownership Interest Sep 19, 2011 52.83%
RDW Arizona LLC Organization, Chandler, AZ LLC 5% Or Greater Direct Ownership Interest Sep 19, 2011 7.84%
SP Re Surprise LLC Organization, Salem, OR Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Sep 19, 2011 39.1%
Jess Winters Individual 5% Or Greater Direct Ownership InterestMember Sep 19, 2011 7.84%
Charles M Hansen Individual 5% Or Greater Direct Ownership InterestManager Sep 19, 2011 13.69%
Michael T Munch Individual 5% Or Greater Direct Ownership InterestManager Sep 19, 2011 27.36%
Arthur a Tooke Individual 5% Or Greater Direct Ownership InterestMember Sep 19, 2011 26.42%
Sterling & Jacqueline Holdings,LLC Organization, Clayton, MO LLC 5% Or Greater Direct Ownership Interest Jan 1, 2022 9.73%

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1992096101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14775 W. YORKSHIRE DR.",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747213",
            "telephone_number": "623-594-5050",
            "fax_number": "623-594-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14775 W. YORKSHIRE DR.",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747213",
            "telephone_number": "623-594-5050",
            "fax_number": "623-594-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASANTE TRC OF SURPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "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": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sante of Surprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.