Active NPI
Sunrise Hospice, Inc.
- Community Based Hospice Care Agency
- San Antonio, TX
National Provider Identifier
1629561592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SUNRISE HOSPICE, INC.
- Practice address
- 4402 Vance Jackson Rd Ste 100
San Antonio, TX 78230-5354 - Phone
- (210) 239-7802
- Fax
- (210) 817-8614
- NPI assigned
- Jun 14, 2018
- Last updated
- Jun 29, 2020
- 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
- Carlos Moreno Graves
- Title
- Ceo
- Phone
- (210) 239-7802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4402 Vance Jackson Rd Ste 100
San Antonio, TX 78230-5354
Mailing address
4402 Vance Jackson Rd Ste 100
San Antonio, TX 78230-5354
Phone (210) 239-7802
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community Health Registered Nurse
- San Antonio, TX
- NPI 1154971521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593388800000",
"number": "1629561592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4402 VANCE JACKSON RD STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305354",
"telephone_number": "210-239-7802",
"fax_number": "210-817-8614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 VANCE JACKSON RD STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305354",
"telephone_number": "210-239-7802",
"fax_number": "210-817-8614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-14",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "MORENO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "210-239-7802"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Marissa Sunnekalb, FNP
- Sunny Spirits Assisted Living
- Sunrise Convalescent & Rehabilitation Center, L.P. (Sunrise Convalescent & Rehabilitation Center)
- Sunrise Home Health Services of Sa, Inc
- Sunrise Home Health Services of San Antonio, Inc.
- Sunrise Nursing Care Center, LLC (Sunrise Nursing and Rehabilitation Center)
- Sunset Square PLLC (Aqua Dental)
- Sunshine and Rainbows Health Services
- Sunshine Care
- Sunshine Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.