Suncrest Home Health of Georgia, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

069-307-H Issued in GA

Legal business name

SUNCREST HOME HEALTH OF GEORGIA, INC.

Doing business as

SunCrest Home Health

Practice address

906 Interstate Ridge Dr
Suite A1
Gainesville, GA 30501-7076

Phone

(770) 297-0041

Fax

(770) 297-0049

NPI assigned

Aug 31, 2010

Organization subpart

No

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

Authorized official

Name

Nicholas Gachassin III

Title

Secretary/Treasurer

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SunCrest Home Health Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Suncrest Home Health of Georgia, Inc.

  • Home Health Agency
  • Covington, GA
  • NPI 1770882300

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

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

• LHCG Clxi, LLC

  • Home Health Agency
  • Gainesville, GA
  • NPI 1013534171

  Sold to, 2020-10-01

  CMS change of ownership

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1235445008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 INTERSTATE RIDGE DR",
            "address_2": "SUITE A1",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017076",
            "telephone_number": "770-297-0041",
            "fax_number": "770-297-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST HOME HEALTH OF GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "069-307-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125167A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunCrest Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SunCrest Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annalyse Summey, PA
• Summit BHC Monroe, LLC
• Laura Sumner, LCSW
• Sean M Sumner, M.D.
• Yamin Sun, MD
• Wendy L Sundgren, CCC-SLP
• Murtaza Ali Sundhu, MD
• Sunshine Therapy LLC
• Supreme Healthcare LLC
• Supreme Speech Therapy Services

• Home Health Agency in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.