# ASANTE TRC OF SURPRISE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Sante of Surprise
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992096101
- **Authorized official:** JACOB SCHAEFER (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (503) 201-8356

## Contact information

- **Practice address:** 14775 W. YORKSHIRE DR., SURPRISE, AZ 85374-7213
- **Practice address phone:** (623) 594-5050
- **Practice address fax:** (623) 594-5074
- **Mailing address:** 14775 W. YORKSHIRE DR., SURPRISE, AZ 85374-7213
- **Mailing address phone:** (623) 594-5050
- **Mailing address fax:** (623) 594-5074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | AZ | Yes |

## Other

- **Enumeration date:** 04/21/2011
- **Last updated:** 03/14/2024