NPIMap

Organization Active NPI

Suncrest Hospice Richmond LLC

  • Community Based Hospice Care Agency
  • Richmond, VA
National Provider Identifier
1942883053
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 RICHMOND LLC
Practice address
7301 Forest Ave Ste 100
Richmond, VA 23226-3792
Phone
(804) 905-6740
Fax
(804) 486-6741
NPI assigned
May 5, 2021
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

7301 Forest Ave Ste 100
Richmond, VA 23226-3792

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210913002596 VA Part A Provider - Hospice 7810393022 Practice locations: Richmond, VA

Hospice certification: CCN 491650

Legal name
SUNCREST HOSPICE RICHMOND LLC
Doing business as
SUNCREST HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 15, 2021
Last certification
Dec 15, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Dec 8, 2020 in VA
Enrollment address
7301 Forest Ave
Ste 110
Richmond, VA 23226-3792

Care Compare: Hospice

Medicare Care Compare
Listed as
Suncrest Hospice RichmondCCN 491650
Ownership
For-Profit
Certified
Dec 15, 2021
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
49D2234699Suncrest Hospice Richmond LLC7301 Forest Ave, Suite 110, Richmond, VA 23226Certificate of waiverSep 1, 2027

National Provider Directory

National Provider Directory

Locations

7301 Forest Ave
Ste 100
Richmond, VA 23226
Phone (804) 288-5222

7301 Forest Ave
Ste 110
Richmond, VA 23226
Phone (804) 905-6740

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
G&B Newco Inc Organization, Sandy, UT Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 3, 2024 26.6%
Scott David Perucca Individual 5% Or Greater Indirect Ownership InterestMember Board of Directors Jan 3, 2024 34.2%
Christopher Jay Harris Individual 5% Or Greater Indirect Ownership InterestCeo Jan 3, 2024 5%
Corporate OfficerCeo Jan 3, 2022
Erin M Bennett Individual 5% Or Greater Indirect Ownership InterestMember of Board of Directors Jan 3, 2024 13.3%
Tyler M Godfrey Individual 5% Or Greater Indirect Ownership InterestCfo Dec 8, 2020 34.2%
Corporate OfficerCfo Dec 8, 2020 45%
Mark a Doloresco Individual Contracted Managing EmployeeMD; Jan 1, 2024 100%
Thomas B Godfrey Individual 5% Or Greater Indirect Ownership InterestMember of Board of Directors Jan 3, 2024 13.3%
Suncrest Health Services LLC Organization, Sandy, UT LLC 5% Or Greater Direct Ownership Interest Dec 8, 2020 100%
Sarah Eileen Nielsen Individual W-2 Managing EmployeeCorporate Paralegal Jan 3, 2024
Anne Nisley Individual W-2 Managing EmployeeAd; Dec 8, 2020 100%

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 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": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1942883053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 S MONROE ST # 900",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704419",
            "telephone_number": "801-849-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 FOREST AVE STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263792",
            "telephone_number": "804-905-6740",
            "fax_number": "804-486-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST HOSPICE RICHMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "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": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.