Active NPI
Sisu Healthcare Solutions, Inc.
- Home Infusion Agency
- Las Vegas, NV
National Provider Identifier
1144705039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200122000478 | NV | DME Supplier - Pharmacy | 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).
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Tempe, AZ
- NPI 1902451552
1850726845
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Las Vegas Pharmacy | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Sisu Healthcare Solutions
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Tempe, AZ
- NPI 1720618820
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Tempe, AZ
- NPI 1902451552
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.