Active NPI
A to Z Wellness and Rehab Services, LLC
- Home Health Agency
- Poplar Bluff, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- A TO Z WELLNESS AND REHAB SERVICES, LLC
- Practice address
- 600 Vine St
Poplar Bluff, MO 63901-5039 - Phone
- (573) 776-6100
- Fax
- (573) 776-6123
- NPI assigned
- Mar 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Manchester
- Title
- Ceo
- Phone
- (573) 776-6100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
600 Vine St
Poplar Bluff, MO 63901-5039
Mailing address
600 Vine St
Poplar Bluff, MO 63901-5039
Phone (573) 776-6100
Other names 1
- Sunrise Home Care, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230626000703 | IA | Part A Provider - Home Health Agency | 5496113375 | Practice locations: Poplar Bluff, MO |
Home health agency certification: CCN 267634
- Legal name
- A TO Z WELLNESS AND REHAB SERVICES LLC
- Doing business as
- SUNRISE HOME CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 2, 2012
- Last certification
- Jun 30, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Mar 7, 2013 in MO
- Enrollment address
- 600 Vine St
Poplar Bluff, MO 63901-5039
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Sunrise Home Care, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 2, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
4061 Highway PP
Ste 3
Poplar Bluff, MO 63901
Phone (573) 776-6100
600 Vine St
Poplar Bluff, MO 63901
Phone (573) 776-6100
1227 Sterling Dr
Poplar Bluff, MO 63901
Phone (573) 776-6100
2210 Barron Rd
#215
Poplar Bluff, MO 63901
Phone (573) 776-6100
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Amy Manchester | 5% Or Greater Direct Ownership Interest | May 1, 2024 | 51% |
| Corporate Officer | Mar 20, 2023 | ||
| Corporate Director | Mar 20, 2023 | ||
| W-2 Managing Employee | Mar 20, 2023 | ||
| David Byrne | 5% Or Greater Direct Ownership Interest | May 1, 2024 | 49% |
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Mar 20, 2023 | Change of Ownership | Sunrise Home Care LLC |
| Mar 20, 2023 | Change of Ownership | Sunrise Home Care LLC |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Rector, AR
- NPI 1780864330
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Poplar Bluff, MO
- NPI 1558308239
Home health agency
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1841247848
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724803200000",
"number": "1992004386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 VINE ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639015039",
"telephone_number": "573-776-6100",
"fax_number": "573-776-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 VINE ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639015039",
"telephone_number": "573-776-6100",
"fax_number": "573-776-6123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A TO Z WELLNESS AND REHAB SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-24",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A",
"authorized_official_last_name": "MANCHESTER",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "573-776-6100"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise Home Care, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.