SUNRISE COMMUNITY, INC. (NPI# 1154499341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154499341 |
| Entity Type | Organization |
| Organization Name | SUNRISE COMMUNITY, INC. |
| Other Organization Name | FIFTY-FIFTH COURT |
| Practice Address |
8430 Sw 55th Ct Davie FL 33328-5211 |
| Practice Telephone | 9546802309 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | ANA KARINA GARCIA (ACCOUNTS RECEIVABLE MANAGER) |
| Authorized Official Telephone | 3052733047 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | U028560900 | 05 |
| Other Name | Type Code |
|---|---|
| Fifty-Fifth Court | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420854 | Sunrise Community, Inc. | Intermediate Care Facility, Mental Illness | 817 W Wheeler Rd, Brandon, FL 33510-2140 | 2020-06-05 |
| 1144376971 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 10228 Sw 53rd Ct, Cooper City, FL 33328-5622 | 2007-01-26 |
| 1417003252 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 18711 Wentworth Dr, Hialeah, FL 33015-2917 | 2007-01-26 |
| 1083760102 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 5436 Sw 148th Ct, Miami, FL 33185-4030 | 2007-01-25 |
| 1922152867 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 1830 Buford Ct, Tallahassee, FL 32308-4456 | 2007-01-22 |
| 1700939659 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 1219 Se 26th Ter, Cape Coral, FL 33904-5731 | 2007-01-22 |
| 1285788984 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 10521 Sw 146th Pl, Miami, FL 33186-2981 | 2007-01-22 |
| 1538213392 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 14935 Sw 145th St, Miami, FL 33196-2317 | 2007-01-22 |
| 1831243641 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 22300 Sw 162nd Ave, Goulds, FL 33170-3907 | 2007-01-22 |
| 1245392406 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 19420 W Oakmont Dr, Hialeah, FL 33015-2029 | 2006-12-14 |
| Street Address |
8430 SW 55TH CT |
| City | DAVIE |
| State | FL |
| Zip Code | 33328-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496708 | Venise Jacqueslouis | Behavior Technician | 8001 We 36th St, Suite 9, Davie, FL 33328 | 2019-09-17 |
| 1134780539 | 1st Nursing Care Services | Registered Nurse | 10335 Sw 50th Ct, Cooper City, FL 33328 | 2019-06-26 |
| 1023572245 | Rezan Tewolde | Pharmacist | 37772 Churchill Downs Drive, Davie, FL 33328 | 2019-01-23 |
| 1497237820 | Yasmeen Dahsheh | Behavior Technician | 8001 Sw 36th Street Suite #9, Davie, FL 33328 | 2018-09-01 |
| 1831686948 | Kristal Arias | Behavior Technician | 8001 Sw 36th Street, Suite #9, Davie, FL 33328 | 2018-04-16 |
| 1952810384 | April R Hardy | Behavior Technician | 8001 Sw 36 Street Suite 9, Davie, FL 33328 | 2017-09-28 |
| 1609391556 | Courtney M Talbert | Behavior Technician | 8001 Sw 36 St, Suite 9, Davie, FL 33328 | 2017-08-11 |
| 1639619349 | Remya Mathew | General Acute Care Hospital | 10030 Grove Ln, Cooper City, FL 33328 | 2017-02-28 |
| 1184161945 | Elizabeth Stabinski | Marriage & Family Therapist | 4900 South University Drive, Suite 200d, Davie, FL 33328 | 2017-01-31 |
| 1285097659 | Pandolfi Counseling Associates, Inc. | Social Worker | 5291 Sw 89th Ave, Cooper City, FL 33328 | 2016-04-01 |
| Find all providers in zip 33328 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366798290 | Barc Housing Inc. | Intermediate Care Facility, Mentally Retarded | 2750 Sw 75th Ave, Davie, FL 33314-1008 | 2012-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009019 | Florida Mentor II LLC | Intermediate Care Facility, Mentally Retarded | 1045 Mar Walt Dr, Fort Walton Beach, FL 32547-6738 | 2020-10-01 |
| 1952919557 | The Vinglo House LLC | Intermediate Care Facility, Mentally Retarded | 1862 Finn Hill Dr, Boynton Beach, FL 33426-9329 | 2020-07-20 |
| 1487290730 | Noal Group Home, Inc | Intermediate Care Facility, Mentally Retarded | 13379 Key Lime Blvd, West Palm Beach, FL 33412-2150 | 2019-11-21 |
| 1770055980 | National Mentor Healthcare LLC | Intermediate Care Facility, Mentally Retarded | 1275 N Rainbow Loop, Lecanto, FL 34461-8893 | 2018-12-28 |
| 1871993899 | Diomar Anover | Intermediate Care Facility, Mentally Retarded | 17812 Wendy Sue Ave, Hudson, FL 34667-5917 | 2014-08-27 |
| 1972856011 | The Mentor Network | Intermediate Care Facility, Mentally Retarded | 1725 Fifth St, Daytona Beach, FL 32117-5107 | 2012-10-25 |
| 1255658365 | 98 | Intermediate Care Facility, Mentally Retarded | 11314 Mahopac Rd, Weeki Wachee, FL 34614-3562 | 2010-04-28 |
| 1245404250 | Marcia A. Howell | Intermediate Care Facility, Mentally Retarded | 17305 Blooming Fields Dr, Land O Lakes, FL 34638-7222 | 2008-04-22 |
| 1497928774 | New Vue LLC Dba Key Pine Village | Intermediate Care Facility, Mentally Retarded | 6457 W Norvell Bryant Hwy, Crystal River, FL 34429-9413 | 2008-04-08 |
| 1558533372 | Res-care Premier, Inc. | Intermediate Care Facility, Mentally Retarded | 12981 Sw 52nd St, Fort Lauderdale, FL 33330-2731 | 2008-04-01 |
| Find all providers with the same taxonomy | ||||
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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.