Organization Active NPI

Suncrest Hospice Dallas, LLC

  • Community Based Hospice Care Agency
  • Arlington, TX
National Provider Identifier
1518857044
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUNCREST HOSPICE DALLAS, LLC
Practice address
524 E Lamar Blvd Ste 200
Arlington, TX 76011-3901
Phone
(469) 759-0900
Fax
(469) 759-0901
NPI assigned
Jul 7, 2025
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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 NU Primary

Addresses

Primary practice location

524 E Lamar Blvd Ste 200
Arlington, TX 76011-3901

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260203003617 TX Part A Provider - Hospice 3678051281 Practice locations: Arlington, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518857044. Details of each certification follow.

Hospice certification: CCN E21508

Legal name
SUNCREST HOSPICE DALLAS, LLC
Doing business as
SUNCREST HEALTH SERVICES
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 6, 2026
Last certification
Mar 6, 2026
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
524 E Lamar Blvd
Ste 200
Arlington, TX 76011-3901

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
45D2334481Suncrest Hospice Dallas, LLC524 E Lamar Blvd Ste 200, Arlington, TX 76011Certificate of waiverNov 20, 2027

National Provider Directory

National Provider Directory

Locations

524 E Lamar Blvd
Ste 200
Arlington, TX 76011
Phone (469) 759-0900

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Hillary Holiday Individual W-2 Managing EmployeeAd; Mar 18, 2026
Scott David Perucca Individual 5% Or Greater Indirect Ownership InterestMember of the Board of Directors Sep 1, 2025 34.2%
Rakesh K Saini Individual Contracted Managing EmployeeMD; Nov 15, 2025
Christopher Jay Harris Individual 5% Or Greater Indirect Ownership InterestCeo Sep 1, 2025 5%
Corporate OfficerCeo Sep 1, 2025
Erin M Bennett Individual 5% Or Greater Indirect Ownership InterestMember of the Board of Directors Sep 1, 2025 13.3%
Tyler M Godfrey Individual 5% Or Greater Indirect Ownership InterestChairman of the Board Sep 1, 2025 34.2%
Corporate OfficerCio Sep 1, 2025
Thomas B Godfrey Individual 5% Or Greater Indirect Ownership InterestMember of the Board of Directors Sep 1, 2025 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 Sep 1, 2025 100%
Kristen Trueblood Individual W-2 Managing EmployeeDirector of Clinical Services Mar 18, 2026
Sarah Eileen Nielsen Individual W-2 Managing EmployeeDirector of Professional Services Sep 1, 2025
G&B Newco Inc Organization, Sandy, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2025 26.6%

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1518857044",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E LAMAR BLVD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113901",
            "telephone_number": "469-759-0900",
            "fax_number": "469-759-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST HOSPICE DALLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.