NPIMap

Organization Active NPI

Suncrest Hospice Cleveland LLC

  • Community Based Hospice Care Agency
  • Independence, OH
National Provider Identifier
1710644489
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 CLEVELAND LLC
Practice address
6100 Rockside Woods Blvd N Ste 240
Independence, OH 44131-2355
Phone
(216) 859-9020
Fax
(216) 859-9021
NPI assigned
Nov 17, 2021
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

6100 Rockside Woods Blvd N Ste 240
Independence, OH 44131-2355

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tosborne@suncrestcare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220510002427 OH Part A Provider - Hospice 2466839535 Practice locations: Independence, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710644489. Details of each certification follow.

Hospice certification: CCN 361726

Legal name
SUNCREST HOSPICE CLEVELAND LLC
Doing business as
SUNCREST
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 6, 2022
Last certification
Jun 30, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Nov 10, 2021 in OH
Enrollment address
6500 Rockside Rd
Ste 130
Independence, OH 44131-2319

Care Compare: Hospice

Medicare Care Compare
Listed as
Suncrest Hospice Cleveland LLCCCN 361726 · All quality measures
Certified
Jul 6, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
36D2247536Suncrest Hospice Cleveland, LLC6100 Rockside Woods Blvd, Suite 240, Independence, OH 44131Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory

Locations

6100 Rockside Woods Blvd N
Ste 240
Independence, OH 44131
Phone (216) 859-9020

6500 Rockside Rd
Ste 130
Independence, OH 44131
Phone (216) 859-9020

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Scott David Perucca Individual 5% Or Greater Indirect Ownership Interest Jan 3, 2024 34.2%
Corporate OfficerCso Nov 10, 2021
Christopher Jay Harris Individual 5% Or Greater Indirect Ownership InterestCeo Jan 3, 2024 5%
Erin M Bennett Individual 5% Or Greater Indirect Ownership InterestCco Jan 3, 2024 13.3%
Tyler M Godfrey Individual 5% Or Greater Indirect Ownership Interest Jan 3, 2024 34.2%
Corporate OfficerCio Nov 10, 2021
Thomas B Godfrey Individual 5% Or Greater Indirect Ownership InterestCoo Jan 3, 2024 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 Nov 10, 2021 100%
Jayantilal Bhimani Individual Contracted Managing EmployeeMD; Mar 1, 2022
Sarah Eileen Nielsen Individual W-2 Managing EmployeeDirector of Professional Services Jan 3, 2024
G&B Newco Inc Organization, Sandy, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 4, 2024 26.6%
Anne Nisley Individual W-2 Managing EmployeeAdministrator Nov 10, 2021

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

Practitioners & affiliated clinicians

Affiliated clinicians 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1710644489",
    "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",
            "fax_number": "801-849-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N STE 240",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312355",
            "telephone_number": "216-859-9020",
            "fax_number": "216-859-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST HOSPICE CLEVELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tosborne@suncrestcare.com",
            "affiliation": "N",
            "endpointDescription": "Billing- Unsecure email",
            "address_1": "6100 Rockside Woods Blvd N Ste 240",
            "city": "Independence",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441312355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.