Sun-Triune Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001448 Issued in CA

Legal business name

SUN-TRIUNE HEALTHCARE, INC.

Practice address

3055 Wilshire Blvd Ste 890
Los Angeles, CA 90010-1137

Phone

(213) 632-1445

Fax

(213) 632-1447

NPI assigned

Dec 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Romeo Tolentino

Title

Ceo

Phone

(213) 632-1445

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058244

Legal name

SUN-TRIUNE HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 3, 2003

Last certification

Jun 25, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 18, 2002 in CA

Enrollment address

3055 Wilshire Blvd
Ste 890
Los Angeles, CA 90010-1137
HHA Branch

Listed as

Sun-Triune Healthcare, IncCCN 058244 · All quality measures

Ownership

Proprietary

Certified

Dec 3, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1124006051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 WILSHIRE BLVD STE 890",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101137",
            "telephone_number": "213-632-1445",
            "fax_number": "213-632-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 WILSHIRE BLVD STE 890",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101137",
            "telephone_number": "213-632-1445",
            "fax_number": "213-632-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN-TRIUNE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-11-21",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "TOLENTINO",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-632-1445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124006051",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun Drug Pharma Inc (Sun Drug Co)
• Sun Drug Pharma Inc (Sun Drug Co)
• Sun J Shin MD Inc
• Sun Lake Drug
• Sun M Chung MD PC
• Alexander Sun
• Amy Sun
• Annie Chin Sun, DPT
• Arthur L Sun, LCSW
• Ava Sun, MD

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.