Suncrest Hospice Cedar Rapids, LLC
Organization Active NPI Community Based Hospice Care Agency · Cedar Rapids, IA
NPI 1992535280 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1992535280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- SUNCREST HOSPICE CEDAR RAPIDS, LLC
- Practice address
- 1005 Blairs Ferry Rd NE Ste 240
Cedar Rapids, IA 52402-1292 - Phone
- (319) 451-6300
- Fax
- (319) 451-6301
- NPI assigned
- Aug 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Christopher Harris
- Title
- Ceo
- Phone
- (801) 849-0486
Owners & managing parties with NPI records 1
-
Melissa Bruhl, DO
Facilities with the same owner 40
Affiliated clinicians 21
-
Cailey Anderson, ARNP
-
Erin Balk, ARNP
-
Jennifer Beth Driscoll, ARNP
-
Scott M Eberly, MD
-
Matthew N Gray, MD
-
Lisa Michelle Horner, ARNP
-
Amiee Lynn Luedeman, NURSE PRACTITIONER
-
Jennifer M Magsamen, ARNP
-
Tara Mescher, ARNP
-
Jesse Murray, NP
-
Richard T Pope, MD
-
Jason A Rexroth, M.D.
-
Samantha Nicole Ryan, ARNP
-
Ann K Soenen, D.O.
-
Vincent A Taeger, M.D.
-
Rachel Janet Taves, NURSE PRACTITIONER
-
Heidi M Wauters, ARNP
-
Clete B Younger, M.D.
Medicare Care Compare: Hospice
- Listed as
- Suncrest Hospice
- Certified
- Dec 18, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2309053 | Suncrest Hospice Cedar Rapids, LLC | Certificate of waiver | Aug 7, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Hospice certification: CCN 161618
- Legal name
- SUNCREST HOSPICE CEDAR RAPIDS LLC
- Doing business as
- SUNCREST HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 18, 2024
- Last certification
- Dec 12, 2024
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 30, 2024 in UT
- Enrollment address
- 1005 Blairs Ferry Rd NE
Cedar Rapids, IA 52402-1292
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Comfort Buyer, LLC |
5% Or Greater Indirect Ownership Interest | Apr 27, 2026 | 100% |
| Comfort Intermediary, LLC |
5% Or Greater Indirect Ownership Interest | Apr 27, 2026 | 100% |
| Sun Comfort Parent LP |
5% Or Greater Indirect Ownership Interest | Apr 27, 2026 | 100% |
| Scott David Perucca |
5% Or Greater Indirect Ownership Interest | Apr 27, 2026 | 11.2% |
| Melissa Bruhl |
W-2 Managing Employee |
Aug 1, 2024 | |
| Christopher Jay Harris |
Corporate Officer |
Jul 30, 2024 | |
| W-2 Managing Employee |
Jul 30, 2024 | ||
| CSC Comfort Co-Invest Aggregator LP |
5% Or Greater Indirect Ownership Interest | Apr 27, 2026 | 64% |
| Tyler M Godfrey |
5% Or Greater Indirect Ownership Interest | Apr 27, 2026 | 11.2% |
| Suncrest Health Services LLC |
5% Or Greater Direct Ownership Interest | Jul 30, 2024 | 100% |
| Comfort Parent GP, LLC |
General Partnership Interest | Apr 27, 2026 | |
| Sarah Eileen Nielsen |
W-2 Managing Employee |
Aug 1, 2024 | |
| G&B Newco Inc |
5% Or Greater Indirect Ownership Interest | Apr 27, 2026 | 9.6% |
| Anne Nisley |
W-2 Managing Employee |
Aug 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240919002351 | IA | Part a Provider - Hospice | 5799226551 | Practice locations: Cedar Rapids, IA |
National Provider Directory
Locations
1005 Blairs Ferry Rd NE
Ste 240
Cedar Rapids, IA 52402
Phone (319) 451-6300
1005 Blairs Ferry Rd NE
Cedar Rapids, IA 52402
Phone (319) 451-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
1005 Blairs Ferry Rd NE Ste 240
Cedar Rapids, IA 52402-1292
Mailing address
9800 S Monroe St # 900
Sandy, UT 84070-4419
Phone (801) 849-0486
Other names
- Suncrest Hospice
Other providers in Cedar Rapids, IA
- Babette Suchy
- Stacie Lee Sugioka
- Katie Sullenbrand
- Lindsay Nicole Sullivan
- Michael Sullivan
- Lisa Sunde
- Laura Sundell
- Paul J Sundell
- Ryan K Sundermann
- Eric Sung
All providers in Cedar Rapids, IA · Community Based Hospice Care Agency in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.