NPIMap

Organization Active NPI

Suncrest Hospice San Antonio LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1508427121
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUNCREST HOSPICE SAN ANTONIO LLC
Practice address
911 Central Pkwy N Ste 100
San Antonio, TX 78232-5053
Phone
(830) 637-2721
Fax
(801) 849-0476
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Christopher Harris
Title
Ceo
Phone
(801) 849-0486

Specialties & licenses 1

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

Addresses

Primary practice location

911 Central Pkwy N Ste 100
San Antonio, TX 78232-5053

Mailing address

9800 S Monroe St Ste 900
Sandy, UT 84070-4419
Phone (801) 849-0486

Other names 1

  • Suncrest Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tosborne@suncrestcare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191216002731 TX Part A Provider - Hospice 6103250634 Practice locations: San Antonio, TX

Hospice certification: CCN 971590

Legal name
SUNCREST HOSPICE SAN ANTONIO LLC
Doing business as
SUNCREST HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 30, 2020
Last certification
Jan 30, 2020
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Jun 13, 2019 in UT
Enrollment address
911 Central Pkwy N
Ste 100
San Antonio, TX 78232-5053

Care Compare: Hospice

Medicare Care Compare
Listed as
Suncrest Hospice San Antonio LLCCCN 971590
Ownership
For-Profit
Certified
Jan 30, 2020
Medicare certification status
ActiveFrom the Provider of Services file

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2175471Suncrest Hospice San Antonio, LLC911 Central Parkway North, Suite 100, San Antonio, TX 78232Certificate of waiverNov 20, 2027

National Provider Directory

National Provider Directory

Locations

14100 San Pedro Ave
Ste 300
San Antonio, TX 78232

911 Central Pkwy N
Ste 100
San Antonio, TX 78232
Phone (726) 999-0697

9800 S Monroe St
#900
Sandy, UT 84070
Phone (801) 849-0486

9800 S Monroe St
Ste 809
Sandy, UT 84070
Phone (801) 971-4235

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Scott David Perucca Individual 5% Or Greater Indirect Ownership InterestCso Jun 13, 2019 34.2%
Corporate OfficerCso Jun 13, 2019
Ricardo Escamilla Individual Contracted Managing EmployeeMD; Aug 5, 2025
Christopher Jay Harris Individual 5% Or Greater Indirect Ownership InterestCeo Jan 3, 2024 5%
Corporate OfficerCeo Jan 3, 2024
Amanda Danielle Wood Individual W-2 Managing EmployeeAd;Hospice Administrator Jan 12, 2026
Rosa I Vizcarra Individual Contracted Managing EmployeeMD; Mar 18, 2021
Erin M Bennett Individual 5% Or Greater Indirect Ownership InterestCco Jan 3, 2024 13.3%
Tyler M Godfrey Individual 5% Or Greater Indirect Ownership InterestCio Jun 13, 2019 34.2%
Corporate OfficerCio Jun 13, 2019
Thomas B Godfrey Individual 5% Or Greater Indirect Ownership InterestCoo Jan 3, 2024 13.3%
Suncrest Health Services LLC Organization, Sandy, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 13, 2019 100%
Sarah Eileen Nielsen Individual W-2 Managing EmployeeDirector of Professional Services Jan 3, 2024
G&B Newco Inc Organization, Sandy, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 3, 2024 26.6%
Anne Nisley Individual W-2 Managing EmployeeRegional Administrator Jun 13, 2019

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 7

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": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1508427121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 S MONROE ST STE 900",
            "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": "911 CENTRAL PKWY N STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325053",
            "telephone_number": "830-637-2721",
            "fax_number": "801-849-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST HOSPICE SAN ANTONIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-849-0486"
    },
    "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": "Medicare Biller Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "911 Central Pkwy N Ste 100",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782325053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Suncrest Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.