NPIMap

Organization Active NPI

Sunrise Home Health Care LLC

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1841468071
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNRISE HOME HEALTH CARE LLC
Practice address
3033 S Parker Rd Ste 208
Aurora, CO 80014-2915
Phone
(303) 873-1000
Fax
(303) 369-2399
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Mr. Bob Kagan
Title
Administrator
Phone
(303) 873-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3033 S Parker Rd Ste 208
Aurora, CO 80014-2915

Mailing address

3033 S Parker Rd Ste 208
Aurora, CO 80014-2915
Phone (303) 873-1000

Other identifiers 2

IdentifierTypeStateIssuer
04T307OtherCOLICENSE
33785350MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000887 CO Part A Provider - Home Health Agency 1153369798 Practice locations: Aurora, CO

Home health agency certification: CCN 067474

Legal name
SUNRISE HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 23, 2008
Last certification
Sep 16, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 4, 2005 in CO
Enrollment address
3033 S Parker Rd Tower 1
Ste 506
Aurora, CO 80014-2923

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sunrise Home Health Care LLCCCN 067474 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 23, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2600 S Parker Rd
Bldg 7
Aurora, CO 80014
Phone (720) 870-2888

3033 S Parker Rd
Ste 208
Aurora, CO 80014
Phone (303) 873-1000

6625 Leetsdale Dr
Unit C
Denver, CO 80224
Phone (303) 321-2068

7535 E Hampden Ave
#625
Denver, CO 80231
Phone (303) 873-1000

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Milana Kagan Individual 5% Or Greater Direct Ownership Interest Oct 23, 2008 16.33%
W-2 Managing EmployeeClinical Director Oct 23, 2009 16.33%
Vadim Nicholaevich Arkhipov Individual 5% Or Greater Direct Ownership Interest Oct 23, 2008 16.33%
Yelena Babanova Individual 5% Or Greater Direct Ownership Interest Oct 23, 2008 16.33%
Boris Bob Kagan Individual 5% Or Greater Direct Ownership Interest Oct 23, 2008 34.68%
W-2 Managing EmployeeCeo Administrator Oct 23, 2009 34.68%
Yuliya Zagrebelnaya Individual 5% Or Greater Direct Ownership Interest Oct 23, 2008 16.33%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1841468071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 S PARKER RD STE 208",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142915",
            "telephone_number": "303-873-1000",
            "fax_number": "303-369-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 S PARKER RD STE 208",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142915",
            "telephone_number": "303-873-1000",
            "fax_number": "303-369-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-873-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "04T307",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33785350",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.