NPIMap

Organization Active NPI

Apache Trail Healthcare, Inc.

  • Skilled Nursing Facility
  • Sun City West, AZ
National Provider Identifier
1992212765
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
APACHE TRAIL HEALTHCARE, INC.
Practice address
14002 W Meeker Blvd
Sun City West, AZ 85375
Phone
(623) 584-6161
Fax
(623) 546-6487
NPI assigned
Jan 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 Primary

Addresses

Primary practice location

14002 W Meeker Blvd
Sun City West, AZ 85375

Mailing address

14002 W Meeker Blvd
Sun City West, AZ 85375-5201
Phone (623) 584-6161

Other names 1

  • Sun West Choice Healthcare and Rehabilitation 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
O20180525000138 AZ Part A Provider - Skilled Nursing Facility 2769747617 Practice locations: Sun City West, AZ

Skilled nursing facility certification: CCN 035110

Legal name
APACHE TRAIL HEALTHCARE, INC.
Doing business as
SUN WEST CHOICE HEALTHCARE AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 25, 1985
Last certification
Sep 3, 2024
Beds
140
Ownership / control type
Corporation
Multi-facility organization
Ensign Services
Organization structure
CorporationProprietary
Enrollment address
14002 W Meeker Blvd
Sun City West, AZ 85375-5201
Nursing home name
SUN WEST CHOICE HEALTHCARE & REHAB
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sun West Choice Healthcare & RehabCCN 035110
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 25, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140134.0 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $4,838

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
03D0531647Sun West Choice Healthcare & Rehabilitation14002 W Meeker Blvd, Sun City West, AZ 85375Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
William Nassour Individual Operational/Managerial Control Oct 1, 2022
Managing Control - Governing BodyMedical Director Oct 1, 2022
Adp of the SNF Oct 1, 2022
The Ensign Group Inc Organization, Mission Viejo, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 25, 2006 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Sep 10, 2013
Forrest Peterson Individual Corporate DirectorSole Director Apache Trail Healthca Mar 27, 2020
Ami Sato Individual Corporate OfficerTreasurer Apache Trail Healthcare Sep 9, 2024
Prime Time Healthcare LLC Organization, Elkhorn, NE LLC Operational/Managerial Control Jun 1, 2018
Bandera Healthcare LLC Organization, Mission Viejo, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 10, 2013 100%
Pioneer Healthcare Services LLC Organization, San Diego, CA LLC Operational/Managerial Control Dec 1, 2018
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Terry Granger Individual Operational/Managerial Control May 1, 2018
Managing Control - Governing BodyAdministrator May 1, 2018
Adp of the SNF May 1, 2018
Azore Property LLC Organization, Eugene, OR LLC Adp of the SNF Apr 11, 2018
Soon Burnam Individual Corporate OfficerSecretary Apache Trail Healthcare Oct 10, 2013
Courtney Fischbeck Individual Corporate OfficerPresident Apache Trail Healthcare Jan 1, 2025

Owners & managing parties with NPI records 1

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

  • William Nassour, MD
    • Internal Medicine Physician
    • Goodyear, AZ
    • NPI 1104131820

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

    CMS ownership

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1992212765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14002 W MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755201",
            "telephone_number": "623-584-6161",
            "fax_number": "623-546-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14002 W MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "85375",
            "telephone_number": "623-584-6161",
            "fax_number": "623-546-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APACHE TRAIL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "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": null,
            "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": "Sun West Choice Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sun West Choice Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.