Sunset Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SUNSET HOSPICE LLC

Practice address

7500 College Blvd Ste 514
Overland Park, KS 66210-4043

Phone

(913) 660-9115

Fax

(913) 660-9192

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Monica Kangethe

Title

Ambr

Phone

(913) 704-2123

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861253254. Details of each certification follow.

• CCN 171628 Hospice · Active · Details

Hospice certification: CCN 171628

Legal name

SUNSET HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 6, 2024

Last certification

Nov 20, 2024

Organization structure

LLCProprietary

Incorporated

Aug 17, 2023 in KS

Enrollment address

7500 College Blvd
Ste 514
Overland Park, KS 66210

Listed as

Sunset Hospice LLCCCN 171628 · All quality measures

Certified

Dec 6, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mark Irwin Petersen, MD

  • Internal Medicine Physician
  • Tonganoxie, KS
  • NPI 1881647543

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Mark Irwin Petersen, MD

  • Internal Medicine Physician
  • Tonganoxie, KS
  • NPI 1881647543

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1861253254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 COLLEGE BLVD STE 514",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104043",
            "telephone_number": "913-660-9115",
            "fax_number": "913-660-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 COLLEGE BLVD STE 514",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104043",
            "telephone_number": "913-660-9115",
            "fax_number": "913-660-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "KANGETHE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "913-704-2123",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.