Organization Active NPI

Sisu Healthcare Solutions, Inc.

  • Home Infusion Agency
  • Las Vegas, NV
National Provider Identifier
1144705039
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
SISU HEALTHCARE SOLUTIONS, INC.
Practice address
871 Grier Dr Ste B2
Las Vegas, NV 89119-3756
Phone
(702) 577-1617
Fax
(702) 577-3442
NPI assigned
Sep 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Marcus E Ulm
Title
Owner
Phone
(702) 577-1617

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X Primary
Infusion Therapy Clinic/Center 261QI0500X
Durable Medical Equipment & Medical Supplies 332B00000X
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

871 Grier Dr Ste B2
Las Vegas, NV 89119-3756

Mailing address

871 Grier Dr Ste B2
Las Vegas, NV 89119-3756
Phone (702) 577-1617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200122000478 NV DME Supplier - PharmacyDME Supplier - Medical Supply Company 1850726845 Practice locations: Las Vegas, NV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Las Vegas Pharmacy871 Grier Dr, Las Vegas, NV 89119-3756(702) 577-1617 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|External Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Ventilators Accessories and/or Supplies Does not accept assignmentParticipating since Sep 21, 2019

National Provider Directory

National Provider Directory
Tax ID family
Sisu Healthcare Solutions3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1144705039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 GRIER DR STE B2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193756",
            "telephone_number": "702-577-1617",
            "fax_number": "702-577-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 GRIER DR STE B2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193756",
            "telephone_number": "702-577-1617",
            "fax_number": "702-577-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU HEALTHCARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "ULM",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-577-1617"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.