Organization Active NPI

Sundance Park Healthcare LLC

  • In Home Supportive Care Agency
  • El Dorado Hills, CA
National Provider Identifier
1083587695
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUNDANCE PARK HEALTHCARE LLC
Doing business as
Golden Poppy Caregiving
Practice address
4993 Golden Foothill Pkwy Ste 3a
El Dorado Hills, CA 95762-9642
Phone
(279) 226-4889
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4993 Golden Foothill Pkwy Ste 3a
El Dorado Hills, CA 95762-9642

Mailing address

4993 Golden Foothill Pkwy Ste 3a
El Dorado Hills, CA 95762-9642
Phone (279) 226-4889

Other names 1

  • Golden Poppy Caregiving Doing business as

National Provider Directory

National Provider Directory

Locations

6929 Sunrise Blvd
Citrus Heights, CA 95610

4993 Golden Foothill Pkwy
Ste 3A
El Dorado Hills, CA 95762

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1083587695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4993 GOLDEN FOOTHILL PKWY STE 3A",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629642",
            "telephone_number": "279-226-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4993 GOLDEN FOOTHILL PKWY STE 3A",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629642",
            "telephone_number": "279-226-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE PARK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Poppy Caregiving",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.