BAMBOO SUNRISE LLC
NPI 1942577994
Community/Behavioral Health in Henderson, NV
About Bamboo Sunrise Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAMBOO SUNRISE LLC (NPI 1942577994) is a healthcare organization registered as a community/behavioral health in Henderson, Nevada and active in the NPI registry since November 2011. The organization lists Shirley Lim Holdeman, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bamboo Sunrise Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bamboo Sunrise LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bamboo Sunrise LLC's NPI number?
The NPI number for Bamboo Sunrise LLC is 1942577994. It was assigned to this organization in the NPPES registry on November 18, 2011.
Where is Bamboo Sunrise LLC located?
Bamboo Sunrise LLC is located at 98 E Lake Mead Pkwy Ste 201, Henderson, NV 89015. The listed phone number is (702) 433-3038.
What is Bamboo Sunrise LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Bamboo Sunrise LLC enrolled in Medicare?
Yes. Bamboo Sunrise LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bamboo Sunrise LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Bamboo Sunrise LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bamboo Sunrise LLC was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bamboo Sunrise Llc · NPI 1942577994
Community/Behavioral Health organization in Henderson, Nevada. Organization record, active in the CMS NPPES registry since November 18, 2011.
## Identity
- **NPI:** 1942577994 (Entity type: Organization)
- **Enumerated:** November 18, 2011
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Shirley Holdeman, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 98 E LAKE MEAD PKWY STE 201, Henderson, NV 89015-6443
- **Phone:** (702) 433-3038
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1942577994) · Data from the CMS NPPES public registry.