NPIMap

Organization Active NPI

Apache Healthcare Services Inc.

Doing business as Sunrise Health Services

  • Home Health Agency
  • Gilbert, AZ
National Provider Identifier
1760449409
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA3958 Issued in AZ
Legal business name
APACHE HEALTHCARE SERVICES INC.
Doing business as
Sunrise Health Services
Practice address
105 N. Pasadena St.
Ste 2
Gilbert, AZ 85233-5013
Phone
(480) 926-0133
Fax
(480) 926-6377
NPI assigned
Apr 27, 2006
Last updated
Sep 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Mr. Tarik M Shirif
Title
Ceo, President
Phone
(480) 246-3593

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA3315 AZ
Home Health Agency 251E00000X HHA3958 AZ Primary

Addresses

Primary practice location

105 N. Pasadena St.
Ste 2
Gilbert, AZ 85233-5013

Mailing address

105 N. Pasadena St.
Ste 2
Gilbert, AZ 85233-5013
Phone (480) 926-0133

Other identifiers 3

IdentifierTypeStateIssuer
AZ0039710OtherAZBC/BS DME
923567MedicaidAZ
AZ0209350OtherAZBC/BS OF AZ

Other names 1

  • Sunrise Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031103000711 AZ Part A Provider - Home Health Agency 5799697298 Practice locations: Gilbert, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760449409. Details of each certification follow.

Home health agency certification: CCN 037226

Legal name
APACHE HEALTHCARE SERVICES INC
Doing business as
SUNRISE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 7, 2004
Last certification
Mar 26, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
105 N Pasadena St
Ste 2
Gilbert, AZ 85233-5013

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sunrise Health ServicesCCN 037226 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 7, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Apache Healthcare Services Inc2 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

105 N Pasadena St
Ste 2
Gilbert, AZ 85233
Phone (480) 588-5777

962 E Isabella Ave
Mesa, AZ 85204
Phone (480) 926-0133

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Brightlife Home Health Care LLC Organization, Phoenix, AZ Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2023 100%
Tarik M Shirif Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2023 50.1%
Corporate OfficerExecutive Director Dec 31, 2023 50.1%
Corporate DirectorExecutive Director Dec 31, 2023 50.1%
Joshua Smith Individual 5% Or Greater Indirect Ownership InterestCeo Dec 31, 2023 49.9%
Corporate Officer Dec 31, 2023
Corporate DirectorCeo Dec 31, 2023 49.9%
W-2 Managing Employee Jan 1, 2022

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 51

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

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1760449409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N. PASADENA ST.",
            "address_2": "STE 2",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335013",
            "telephone_number": "480-926-0133",
            "fax_number": "480-926-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N. PASADENA ST.",
            "address_2": "STE 2",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335013",
            "telephone_number": "480-926-0133",
            "fax_number": "480-926-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APACHE HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "SHIRIF",
        "authorized_official_first_name": "TARIK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "480-246-3593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3315",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS DME",
            "identifier": "AZ0039710",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "923567",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AZ",
            "identifier": "AZ0209350",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.