Organization Active NPI

Suncrest Hospice San Jose LLC

  • Community Based Hospice Care Agency
  • Fremont, CA
National Provider Identifier
1124368808
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUNCREST HOSPICE SAN JOSE LLC
Practice address
3215 Skyway CT
Fremont, CA 94539-5951
Phone
(408) 900-8838
NPI assigned
Feb 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Sarah Eileen Nielsen
Title
Paralegal
Phone
(435) 610-2285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3215 Skyway CT
Fremont, CA 94539-5951

Mailing address

9800 S Monroe St Ste 809
Sandy, UT 84070-4419
Phone (801) 849-0486

Other practice location 1

355 Gellert Blvd Ste 140
Daly City, CA 94015-2619
Phone (415) 795-8824

Other practice location 2

1777 Botelho Dr Ste 240
Walnut Creek, CA 94596-5083
Phone (925) 357-8262

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tosborne@suncrestcare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130628000134 CA Part A Provider - Hospice 2567602303 Practice locations: Daly City, CA; Fremont, CA; Walnut Creek, CA

Hospice certification: CCN 751500

Legal name
SUNCREST HOSPICE SAN JOSE, LLC
Doing business as
SUNCREST HEALTH SERVICES
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 23, 2013
Last certification
Oct 11, 2019
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
3215 Skyway CT
Fremont, CA 94539-5951

Care Compare: Hospice

Medicare Care Compare
Listed as
Suncrest HospiceCCN 751500
Ownership
For-Profit
Certified
Dec 23, 2013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

355 Gellert Blvd
Ste 140
Daly City, CA 94015
Phone (415) 795-8824

455 Hickey Blvd
Ste 516
Daly City, CA 94015
Phone (415) 795-8824

3215 Skyway Ct
Fremont, CA 94539
Phone (408) 900-8838

530 Lakeside Dr
Ste 150
Sunnyvale, CA 94085
Phone (408) 900-8838

1777 Botelho Dr
Ste 240
Walnut Creek, CA 94596
Phone (408) 900-8838

2835 Mitchell Dr
Ste 101
Walnut Creek, CA 94598
Phone (925) 357-8262

1575 Treat Blvd
Ste 100
Walnut Creek, CA 94598
Phone (925) 357-8262

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Comfort Buyer, LLC Organization, New York, NY Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 27, 2026 100%
G&B Newco Inc Organization, Sandy, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 27, 2026 9.6%
Comfort Intermediary, LLC Organization, New York, NY Created for acquisition, Holding company, For-profit, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 27, 2026 100%
Sun Comfort Parent LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 27, 2026 100%
Limited Partnership Interest Apr 27, 2026 100%
Scott David Perucca Individual 5% Or Greater Indirect Ownership Interest11.2 Apr 27, 2026
Nina Adjei Individual W-2 Managing EmployeeAd; Oct 1, 2025
Christopher Jay Harris Individual Corporate OfficerCeo Jan 3, 2022
W-2 Managing Employee Jan 3, 2022
CSC Comfort Co-Invest Aggregator LP Organization, New York, NY For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Apr 27, 2026 64%
Limited Partnership Interest Apr 27, 2026 64%
Tyler M Godfrey Individual 5% Or Greater Indirect Ownership Interest Apr 27, 2026 11.2%
Suncrest Health Services LLC Organization, Sandy, UT LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 100%
Epifanio J Deleon Individual Contracted Managing EmployeeMD; Jan 1, 2024
Sarah Eileen Nielsen Individual Corporate DirectorDirector of Professional Service Jan 1, 2024
W-2 Managing EmployeeDirector of Professional Service Jan 1, 2024
Mary Filhart Individual W-2 Managing EmployeeVP of Operations Jan 7, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 40

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

View all 40

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 9

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

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1124368808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 S MONROE ST STE 809",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704419",
            "telephone_number": "801-849-0486",
            "fax_number": "801-849-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 SKYWAY CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395951",
            "telephone_number": "408-900-8838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Gellert Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152619",
            "country_code": "US",
            "telephone_number": "415-795-8824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 Botelho Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945965083",
            "country_code": "US",
            "telephone_number": "925-357-8262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNCREST HOSPICE SAN JOSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "435-610-2285"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tosborne@suncrestcare.com",
            "affiliation": "N",
            "endpointDescription": "Email for Medicare biller",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3215 Skyway Ct",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945395951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.