Organization Active NPI

Sunrise Hospice, Inc.

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1629561592
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.