SUNCREST HOSPICE, LLC (NPI# 1417350265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417350265 |
Entity Type | Organization |
Organization Name | SUNCREST HOSPICE, LLC |
Practice Address |
5959 Village View Dr Ste 100 West Des Moines IA 50266-3845 |
Mailing Address |
1275 E Fort Union Blvd Ste 115 Midvale UT 84047-1884 |
Practice Telephone | 5153276026 |
Practice Fax Number | 5153273903 |
Mailing Telephone | 8018490453 |
Mailing Fax Number | 8018490476 |
Enumeration Date | 2014-10-07 |
Last Update Date | 2019-07-02 |
Authorized Official Name | TYLER GODFREY (OWNER) |
Authorized Official Telephone | 8019150789 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700302627 | Suncrest Hospice, LLC | Family Medicine | 5000 Westown Pkwy, West Des Moines, IA 50266-5921 | 2017-08-22 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | SUNCREST HOSPICE, LLC | 5959 Village View Dr., Suite 100, West Des Moines, IA 50266 |
Street Address |
5959 VILLAGE VIEW DR STE 100 |
City | WEST DES MOINES |
State | IA |
Zip Code | 50266-3845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578006748 | Suncrest Home Health Iowa LLC | Home Health | 5959 Village View Dr Ste 100, West Des Moines, IA 50266-3845 | 2016-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
Find all providers in zip 50266 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750926481 | Moments Hospice of Des Moines LLC | Hospice Care, Community Based | 4150 Westown Pkwy Ste 106, West Des Moines, IA 50266-5901 | 2019-11-18 |
1043757495 | Avalon Hospice Iowa, LLC | Hospice Care, Community Based | 4601 Westown Pkwy, Suite 105, West Des Moines, IA 50266-1081 | 2017-01-24 |
1619132974 | Care Initiatives | Hospice Care, Community Based | 7055 Vista Dr, West Des Moines, IA 50266-9311 | 2008-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427665603 | Hillcrest Hospice LLC | Hospice Care, Community Based | 1702 W Broadway Ste 7, Council Bluffs, IA 51501-3867 | 2020-09-30 |
1144868928 | Physmed Iowa LLC | Hospice Care, Community Based | 1130 S Scott Blvd Ste 201, Iowa City, IA 52240-2908 | 2019-12-12 |
1285197160 | Visiting Nurse Services of Iowa | Hospice Care, Community Based | 118 N. Main Street, Mount Pleasant, IA 52641-2052 | 2019-04-09 |
1053877332 | Cedar Valley Hospice, LLC | Hospice Care, Community Based | 1850 Boyson Rd Ste A, Hiawatha, IA 52233-2316 | 2019-02-12 |
1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
1588191829 | Unitypoint At Home | Hospice Care, Community Based | 290 Blairs Ferry Rd Ne Ste 100, Cedar Rapids, IA 52402-1618 | 2017-05-17 |
1023401254 | Hospice of The Midwest, LLC | Hospice Care, Community Based | 9203 Northpark Dr, Johnston, IA 50131-2933 | 2015-03-12 |
1659786259 | St Croix Hospice LLC | Hospice Care, Community Based | 1015 S Grand Ave, Spencer, IA 51301-5722 | 2014-06-23 |
1093128431 | St Croix Hospice LLC | Hospice Care, Community Based | 302 N Grand Ave Ste 5, Charles City, IA 50616-2817 | 2014-06-03 |
Find all providers with the same taxonomy |
City | WEST DES MOINES |
Zip Code | 50266 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.