NPIMap

Organization Active NPI

Sun Spruce Healthcare LLC

  • Home Health Agency
  • Colorado Springs, CO
National Provider Identifier
1972200343
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUN SPRUCE HEALTHCARE LLC
Practice address
5426 N Academy Blvd Ste 200
Colorado Springs, CO 80918-3687
Phone
(719) 532-1100
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 369-7608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5426 N Academy Blvd Ste 200
Colorado Springs, CO 80918-3687

Mailing address

5426 N Academy Blvd Ste 200
Colorado Springs, CO 80918-3687
Phone (719) 532-1100

Other names 1

  • Benefit Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230616001925 CO Part A Provider - Home Health Agency 6709244130 Practice locations: Colorado Springs, CO

Home health agency certification: CCN 067517

Legal name
SUN SPRUCE HEALTHCARE LLC
Doing business as
BENEFIT HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 6, 2014
Last certification
Jan 16, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 7, 2023 in NV
Enrollment address
5426 N Academy Blvd
Ste 200
Colorado Springs, CO 80918-3687

Care Compare: Home health agency

Medicare Care Compare
Listed as
Benefit Home Health CareCCN 067517
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Feb 6, 2014
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
Tax ID family
Benefit by Your Side2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Jackie Zinkgraf Individual W-2 Managing EmployeeAdministrator Dec 6, 2023
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2023 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate DirectorDirector & Sole Board Member Feb 7, 2023
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
John J Gochnour Individual Corporate OfficerPresident / LLC Manager Apr 10, 2024
Amber Tueller Individual Corporate OfficerSecretary Apr 10, 2024
Elliot McMillan Individual Corporate OfficerVice President Apr 10, 2024

Facilities with the same owner 141

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

View all 141

Practitioners & affiliated clinicians

Affiliated clinicians 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1972200343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 N ACADEMY BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183687",
            "telephone_number": "719-532-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 N ACADEMY BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183687",
            "telephone_number": "719-532-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN SPRUCE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-369-7608"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benefit Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.