SDK Sunrise LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SDK SUNRISE LLC

Practice address

601 Graham Rd
College Station, TX 77845-9664

Phone

(796) 617-2729

NPI assigned

Jan 7, 2021

Organization subpart

No

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

Authorized official

Name

Simeon Etta

Title

Cfo

Phone

(979) 436-1616

Specialties & licenses 2

Addresses

Other names 1

• Acara Hospice LLC Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

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

• Acara Hospice, LLC

  • Community Based Hospice Care Agency
  • College Station, TX
  • NPI 1487374591

  Sold to, 2022-11-15

  CMS change of ownership

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1801484571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GRAHAM RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459664",
            "telephone_number": "979-661-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GRAHAM RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459664",
            "telephone_number": "796-617-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDK SUNRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "ETTA",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "979-436-1616"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acara Hospice LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David L. Scott, M.D., P.H.D.
• Donna Scott
• Penny C Scott, PHARM D
• Vincent John Scott, M.D.
• Taylor Scruggs, MA, LPC-ASSOCIATE
• Caitlin Sears, PA
• Alexandria Noel Seawell, FNP
• Haley Sechelski, MA, LMFT
• Kristin Marie Segura, D.P.T.
• Sehorn Chiropractic PLLC

• Community Based Hospice Care Agency in College Station, TX
• Providers in College Station, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.