NPIMap

Organization Active NPI

Sun Peak Healthcare LLC

  • Home Health Agency
  • Tucson, AZ
National Provider Identifier
1093311284
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUN PEAK HEALTHCARE LLC
Practice address
4400 E Broadway Blvd Ste 405
Tucson, AZ 85711-3517
Phone
(520) 577-4630
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4400 E Broadway Blvd Ste 405
Tucson, AZ 85711-3517

Mailing address

4400 E Broadway Blvd Ste 405
Tucson, AZ 85711-3517
Phone (520) 577-4630

Other names 1

  • Sacred Heart Home Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210218000444 AZ Part A Provider - Home Health Agency 1557776895 Practice locations: Tucson, AZ

Home health agency certification: CCN 037144

Legal name
SUN PEAK HEALTHCARE LLC
Doing business as
SACRED HEART HOME HEALTH CARE-TUCSON
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 29, 1993
Last certification
Jan 24, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 11, 2020 in NV
Enrollment address
4400 E Broadway Blvd
Ste 405
Tucson, AZ 85711-3517

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sacred Heart Home Health Care - TucsonCCN 037144
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Apr 29, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2094357Sun Peak Healthcare LLC Dba4400 E Broadway Blvd Ste 405, Tucson, AZ 85711Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory

Locations

4400 E Broadway Blvd
Ste 405
Tucson, AZ 85711
Phone (520) 577-4630

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George a Lipphardt Individual W-2 Managing EmployeeAdministrator Dec 1, 2021
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 16, 2021 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate OfficerDirector Aug 1, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 16, 2021 100%
John J Gochnour Individual Corporate OfficerPresident / LLC Manager Oct 24, 2024
Amber Tueller Individual Corporate OfficerSecretary Apr 10, 2024
Elliot McMillan Individual Corporate OfficerVice President Jan 16, 2021

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Change-of-ownership history 1

DateEventCounterparty
Jan 16, 2021 Change of OwnershipThis provider was the buyer Sacred Heart Home Care IncCCN 037144, AZ, NPI 1669874798

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 41

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1093311284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 E BROADWAY BLVD STE 405",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113517",
            "telephone_number": "520-577-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E BROADWAY BLVD STE 405",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113517",
            "telephone_number": "520-577-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN PEAK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.