Organization Active NPI

Suncrest Healthcare, LLC

  • Home Health Agency
  • Madison, TN
National Provider Identifier
1720021033
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNCREST HEALTHCARE, LLC
Practice address
608 Hospital Dr
Madison, TN 37115-5003
Phone
(615) 865-9841
Fax
(615) 860-6392
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary W Rasmussen
Title
Cfo
Phone
(770) 587-4505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

608 Hospital Dr
Madison, TN 37115-5003

Mailing address

608 Hospital Dr
Madison, TN 37115-5003
Phone (615) 865-9841

Other names 1

  • SunCrest Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Suncrest Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

608 Hospital Dr
Madison, TN 37115
Phone (615) 865-9841

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720021033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HOSPITAL DR",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155003",
            "telephone_number": "615-865-9841",
            "fax_number": "615-860-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HOSPITAL DR",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155003",
            "telephone_number": "615-865-9841",
            "fax_number": "615-860-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-587-4505"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunCrest Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.