Summer Breeze Healthcare

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SUMMER BREEZE HEALTHCARE

Practice address

820 N Mountain Ave Ste 110
Upland, CA 91786-4163

Phone

(909) 541-5618

Fax

(877) 712-3945

NPI assigned

Aug 1, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Jane Cardenas

Title

Ceo/President

Phone

(909) 541-5618

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51618

Legal name

SUMMER BREEZE HEALTHCARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 18, 2022

Last certification

Sep 9, 2022

Organization structure

CorporationProprietary

Incorporated

Jun 22, 2020 in CA

Enrollment address

4959 Palo Verde St
Ste 106C-3
Montclair, CA 91763-2336

Listed as

Summer Breeze HealthcareCCN B51618

Certified

Sep 18, 2022

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 2

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Huy Thanh Ho, M.D.

  • Specialist
  • San Diego, CA
  • NPI 1750370458

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1649880964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N MOUNTAIN AVE STE 110",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864163",
            "telephone_number": "909-541-5618",
            "fax_number": "877-712-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N MOUNTAIN AVE STE 110",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864163",
            "telephone_number": "909-541-5618",
            "fax_number": "877-712-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER BREEZE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-01",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "909-541-5618",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Sudyka, LMFT
• Gregory Kenneth Suelzle, MD
• Sugihara Surgical Services Inc
• Adam Quasar Sugihara, M.D.
• Sullivan Medical Corporation
• Melinda Ann Summers Sandoval, MSW, ACSW, PPSC
• Summit Psychological Services, a Professional Psych
• Sun Coast West Medical Clinic, Inc.
• Sun Medical Equipment Inc.
• Sandra Sun, PHARMD

• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.