NPIMap

Organization Active NPI

Suncrest Hospice Cincinnati LLC

  • Community Based Hospice Care Agency
  • West Chester, OH
National Provider Identifier
1902563679
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUNCREST HOSPICE CINCINNATI LLC
Practice address
9050 Centre Pointe Dr Ste 100
West Chester, OH 45069-4893
Phone
(513) 577-0810
Fax
(801) 849-0476
NPI assigned
Nov 17, 2021
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Christopher Harris
Title
Ceo
Phone
(801) 849-0486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

9050 Centre Pointe Dr Ste 100
West Chester, OH 45069-4893

Mailing address

9800 S Monroe St Ste 900
Sandy, UT 84070-4419
Phone (801) 849-0486

Other practice location 1

8163 Old Yankee St Ste E
Washington Township, OH 45458-1801
Phone (513) 577-0810

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tosborne@suncrestcare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220418002636 OH Part A Provider - Hospice 7517354756 Practice locations: Washington Township, OH; West Chester, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902563679. Details of each certification follow.

Hospice certification: CCN 361721

Legal name
SUNCREST HOSPICE CINCINNATI LLC
Doing business as
SUNCREST HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 1, 2022
Last certification
Sep 29, 2022
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Nov 11, 2021 in OH
Enrollment address
9050 Centre Pointe Dr
Ste 100
West Chester, OH 45069-4893

Care Compare: Hospice

Medicare Care Compare
Listed as
Suncrest HospiceCCN 361721 · All quality measures
Certified
Jun 1, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2251482Suncrest Hospice Cincinnati, LLC9050 Centre Pointe Dr Ste 100, West Chester, OH 45069Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

Locations

8163 Old Yankee St
Ste E
Washington Township, OH 45458
Phone (513) 577-0810

9050 Centre Pointe Dr
Ste 100
West Chester, OH 45069
Phone (513) 577-0810

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Scott David Perucca Individual 5% Or Greater Indirect Ownership InterestCso Nov 11, 2021 34.2%
Corporate OfficerCso Nov 11, 2021
Stacee Charbeneau Individual W-2 Managing EmployeeDirector of Clinical Services Apr 1, 2026
Christopher Jay Harris Individual 5% Or Greater Indirect Ownership InterestCeo Jan 4, 2024 5%
Corporate OfficerCeo Jan 4, 2024
Erin M Bennett Individual 5% Or Greater Indirect Ownership InterestCco Jan 4, 2024 13.3%
Tyler M Godfrey Individual 5% Or Greater Indirect Ownership Interest Nov 11, 2021 34.2%
Corporate OfficerCio Nov 11, 2021
Thomas B Godfrey Individual 5% Or Greater Indirect Ownership InterestCoo Jan 4, 2024 13.3%
Corporate OfficerCoo Jan 3, 2024
Suncrest Health Services LLC Organization, Sandy, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 11, 2021 100%
Sarah Eileen Nielsen Individual W-2 Managing EmployeeDirector of Professional Services Jan 4, 2024
G&B Newco Inc Organization, Sandy, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 3, 2024 26.6%
Cassandra Russell Individual W-2 Managing EmployeeDirector of Clinical Services Apr 1, 2026
Joseph Fred Vuksan Individual W-2 Managing EmployeeAd; Jul 30, 2024
Miranda Huffman Individual Contracted Managing EmployeeMD; Jan 1, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 40

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 40

Practitioners & affiliated clinicians

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1902563679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 S MONROE ST STE 900",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704419",
            "telephone_number": "801-849-0486",
            "fax_number": "801-849-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 CENTRE POINTE DR STE 100",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694893",
            "telephone_number": "513-577-0810",
            "fax_number": "801-849-0476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8163 Old Yankee St Ste E",
            "address_purpose": "LOCATION",
            "city": "Washington Township",
            "state": "OH",
            "postal_code": "454581801",
            "country_code": "US",
            "telephone_number": "513-577-0810",
            "fax_number": "513-577-0845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNCREST HOSPICE CINCINNATI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-849-0486"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tosborne@suncrestcare.com",
            "affiliation": "N",
            "endpointDescription": "Billing Email - Not secure",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9050 Centre Pointe Dr Ste 100",
            "city": "West Chester",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450694893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.