Active NPI
Sundance Park Healthcare LLC
- In Home Supportive Care Agency
- El Dorado Hills, CA
National Provider Identifier
1083587695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.