Provider Demographics
NPI:1144697608
Name:SUNCREST HOSPICE SACRAMENTO LLC
Entity type:Organization
Organization Name:SUNCREST HOSPICE SACRAMENTO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARALEGAL
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-610-2285
Mailing Address - Street 1:9800 S MONROE ST STE 809
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-4419
Mailing Address - Country:US
Mailing Address - Phone:801-849-0486
Mailing Address - Fax:
Practice Address - Street 1:2210 DEL PASO RD STE A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-9676
Practice Address - Country:US
Practice Address - Phone:916-928-0102
Practice Address - Fax:916-928-0134
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNCREST HEALTH SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-31
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based