Sacred Heart Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA6820 Issued in AZ

Legal business name

SACRED HEART HOME CARE INC

Practice address

2504 E River Rd
Suite 100
Tucson, AZ 85718-9555

Phone

(520) 577-4630

Fax

(520) 577-4640

NPI assigned

Sep 19, 2014

Last updated

Sep 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Blevins

Title

Ceo

Phone

(913) 322-1088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Sun Peak Healthcare LLC

  dba Sacred Heart Home Health Care

  • Home Health Agency
  • Tucson, AZ
  • NPI 1093311284

  Sold to, 2021-01-16

  CMS change of ownership

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1669874798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11244 STRANG LINE RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154039",
            "telephone_number": "913-322-1088",
            "fax_number": "913-213-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 E RIVER RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857189555",
            "telephone_number": "520-577-4630",
            "fax_number": "520-577-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-322-1088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA6820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Sachs
• Karl L Sachs, PSYD
• Julie Sack, OTR/L
• Jonathan James Sackett, MD
• William Michael Sacks, M.S.
• Alissa Sadalla, MD
• Jed Sadalla, M.D.
• David Sadeghinia, DDS
• Mohammad Sadi
• Bruce Anthony Sadilek, N.M.D.

• Home Health Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.