SUNRISE RESIDENTIAL SERVICES LLC (NPI# 1477055796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477055796 |
| Entity Type | Organization |
| Organization Name | SUNRISE RESIDENTIAL SERVICES LLC |
| Practice Address |
216 Maple Ln Roseville MN 55113 |
| Practice Telephone | 2064583553 |
| Mailing Telephone | 2064583553 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | TUFAH HASSAN MOALLIN (OWNER/MANAGER) |
| Authorized Official Telephone | 2064583553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | 385493 | MN | Agencies |
| N | 253Z00000X | In Home Supportive Care | 1091521 | MN | Agencies |
| N | 332U00000X | Home Delivered Meals | 1091521 | MN | Suppliers |
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 310 E 38th St Suite #206, Minneapolis, MN 55409 | 2064583553 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Sunrise Residential Services LLC | 368 Jackson Alley #25, Hayden, CO 81639 |
| Street Address |
216 MAPLE LN |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| 1558872010 | Nafisa A Elmi | Dentist | 1700 Highway 36 W Ste 860, Roseville, MN 55113 | 2017-10-23 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1194372367 | Snh Cal Tenant LLC | Assisted Living Facility | 110 Sterling Ct, Roseville, CA 95661-3750 | 2019-08-22 |
| 1245883651 | Sisters Assistant Living Care LLC | Assisted Living Facility | 1129 County Road B2 W, Roseville, MN 55113-3237 | 2019-07-24 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1073011854 | Cherrywood Pointe of Roseville At Lexington LLC | Assisted Living Facility | 2680 Lexington Ave N, Roseville, MN 55113-2188 | 2018-01-26 |
| 1659795300 | Eagle Crest Senior Housing, LLC | Assisted Living Facility | 2945 Lincoln Dr, Roseville, MN 55113-1338 | 2014-02-14 |
| 1558507152 | Roseville Heritage Partners, Lp | Assisted Living Facility | 110 Sterling Court, Roseville, CA 95661-3750 | 2009-01-02 |
| 1205005857 | Sunrise Senior Living Services, Inc | Assisted Living Facility | 2750 Victoria St N, Roseville, MN 55113-2094 | 2008-02-28 |
| 1073791711 | Sunrise Senior Living Management, Inc. | Assisted Living Facility | 2555 Snelling Ave N, Roseville, MN 55113-2801 | 2008-02-05 |
| 1538381660 | The Palms | Assisted Living Facility | 100 Sterling Court, Roseville, CA 95661 | 2007-05-02 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on SUNRISE RESIDENTIAL SERVICES LLC.
| 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.