NPIMap

Organization Active NPI

Suncrest Companion Services, LLC

Doing business as SunCrest Companion Services of Manchester

  • Nursing Care Agency
  • Manchester, TN
National Provider Identifier
1861045031
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
SUNCREST COMPANION SERVICES, LLC
Doing business as
SunCrest Companion Services of Manchester
Practice address
121 N Irwin St Ste B
Manchester, TN 37355-1526
Phone
(931) 728-3515
Fax
(931) 450-5015
NPI assigned
Jul 17, 2019
Last updated
Dec 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Joshua L. Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

121 N Irwin St Ste B
Manchester, TN 37355-1526

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other names 1

  • SunCrest Companion Services of Manchester Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Suncrest Companion Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

121 N Irwin St
Ste B
Manchester, TN 37355
Phone (931) 728-3515

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1861045031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N IRWIN ST STE B",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551526",
            "telephone_number": "931-728-3515",
            "fax_number": "931-450-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST COMPANION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunCrest Companion Services of Manchester",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SunCrest Companion Services of Manchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.