Provider Demographics
NPI:1588959886
Name:SUNCREST HOME HEALTH LLC
Entity type:Organization
Organization Name:SUNCREST HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:PERUCCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-941-5580
Mailing Address - Street 1:311 STEELE ST STE 225
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4479
Mailing Address - Country:US
Mailing Address - Phone:720-941-5580
Mailing Address - Fax:720-941-0659
Practice Address - Street 1:311 STEELE ST STE 225
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4479
Practice Address - Country:US
Practice Address - Phone:720-941-5580
Practice Address - Fax:720-941-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health