Sunrise Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SUNRISE HOSPICE, INC.

Practice address

4045 E Union Hills Dr Ste 104
Phoenix, AZ 85050-3388

Phone

(602) 926-1427

Fax

(602) 218-6861

NPI assigned

Jun 22, 2018

Last updated

Jan 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Tohatan

Title

Ceo

Phone

(480) 544-9334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508351420. Details of each certification follow.

• CCN 031687 Hospice · Active · Details

Hospice certification: CCN 031687

Legal name

SUNRISE HOSPICE INC

Doing business as

AZ SUNSET HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 21, 2019

Last certification

Jan 21, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 9, 2018 in AZ

Enrollment address

4045 E Union Hills Dr
Ste 104
Phoenix, AZ 85050-3388

Listed as

Az Sunset HospiceCCN 031687 · All quality measures

Ownership

For-Profit

Certified

Jan 21, 2019

Medicare certification status

ActiveFrom the Provider of Services file

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 6

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

Owners & managing parties with NPI records 1

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

• Gabriel Victor, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1629061445

  Corporate Director

  CMS ownership

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1508351420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503388",
            "telephone_number": "602-926-1427",
            "fax_number": "602-218-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503388",
            "telephone_number": "602-926-1427",
            "fax_number": "602-218-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "TOHATAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-544-9334"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sunrise Mobile Medical PLLC
• Sunrise Nutrition Services, LLC
• Sunrise Oasis of Gilbert Assisted Living (InTouch at Belmont)
• Sunrise Therapy Services, Inc

• Community Based Hospice Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.