SUNRISE COMMUNITY LIVING (NPI# 1053886010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053886010 |
| Entity Type | Organization |
| Organization Name | SUNRISE COMMUNITY LIVING |
| Practice Address |
1707 Sunrise Dr Anchorage AK 99508-3347 |
| Mailing Address |
800 Lighthouse Ct Anchorage AK 99515-3669 |
| Practice Telephone | 9076440929 |
| Practice Fax Number | 9073394876 |
| Mailing Telephone | 9073602266 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |
| Authorized Official Name | BRANDON BOWDEN (OWNER) |
| Authorized Official Telephone | 9073602266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Street Address |
1707 SUNRISE DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124501200 | Feh's Humanitarina LLC | Assisted Living Facility | 2948 Kimberlie Ct, Anchorage, AK 99508-5331 | 2018-09-13 |
| 1629562897 | Lilyann's Home Care Inc. | Assisted Living Facility | 935 Norman St, Anchorage, AK 99504-1617 | 2018-06-20 |
| 1245728963 | Carolynn Smith | Assisted Living Facility | 11401 Thunderbrush Cir, Anchorage, AK 99516-1728 | 2018-04-27 |
| 1912448069 | Famacare LLC | Assisted Living Facility | 10979 Retreat Cir, Anchorage, AK 99515-2449 | 2017-03-09 |
| 1508302621 | Sauda's Helping Hands Assistant Living Home | Assisted Living Facility | 1735 Katrina Cir, Anchorage, AK 99508-3514 | 2017-01-12 |
| 1417304528 | Malupo's Haven Assisted Living Home LLC | Assisted Living Facility | 7221 Kiska Cir, Anchorage, AK 99504-3408 | 2016-05-18 |
| 1437368412 | Golden Heart Alh | Assisted Living Facility | 2900 Aspen Dr, Anchorage, AK 99517-3253 | 2007-05-22 |
| 1720290786 | Turnagain Foster Home | Assisted Living Facility | 2812 West 29th Ave, Anchorage, AK 99517 | 2007-05-04 |
| 1326267014 | Parkside Assisted Living Inc Rosewood | Assisted Living Facility | 3722 Parsons Ave, Anchorage, AK 99508-1216 | 2007-04-24 |
| 1700340627 | Creative Care | Assisted Living Facility | 11401 Thunderbrush Cir, Anchorage, AK 99516-1728 | 2019-01-24 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.