SUNRISE HOME CARE SERVICES, LLC (NPI# 1588093322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588093322 |
| Entity Type | Organization |
| Organization Name | SUNRISE HOME CARE SERVICES, LLC |
| Practice Address |
9926 Prospect Ave Hampton FL 32044-4411 |
| Mailing Address |
Po Box 213 Hampton FL 32044-0213 |
| Practice Telephone | 3524682619 |
| Mailing Telephone | 3524682619 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |
| Authorized Official Name | REYNALDO YOUNG (ADMINISTRATOR / MANAGER) |
| Authorized Official Telephone | 3524682619 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNRISE HOME CARE SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL5084 | FL | Nursing & Custodial Care Facilities |
| Street Address |
9926 PROSPECT AVE |
| City | HAMPTON |
| State | FL |
| Zip Code | 32044-4411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366897217 | Taralyn De Wese-mitchell | Counselor | 9940 Se 46th Ave, Hampton, FL 32044 | 2016-04-28 |
| 1275872491 | Pamela D. Glison | Registered Nurse | 11172 Sw 85 Avenue, Hampton, FL 32044 | 2013-02-07 |
| 1720638935 | David Meng | Technician | 6658 Sw 98th Ter, Hampton, FL 32044-4322 | 2019-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033211 | Kati Lambert | Massage Therapist | 100 Bridge St Ste D, Hampton, VA 23669-4067 | 2020-11-05 |
| 1083215537 | Resilient Healthcare LLC | Nurse Practitioner | 63 Little River Rd, Hampton, NH 03842-1427 | 2020-11-02 |
| 1336748144 | Tena Lin'neese Artise' | Non-emergency Medical Transport (VAN) | 1285 N King St Ste 5, Hampton, VA 23669-2233 | 2020-10-22 |
| 1225637218 | Endurance Cousneling and Supervision Services,llc | Community/Behavioral Health | 324 Lynnhaven Dr, Hampton, VA 23666-2300 | 2020-10-20 |
| 1831798990 | Haley Maturin | Dietitian, Registered | 145 Hopson Private Dr, Hampton, TN 37658-3068 | 2020-10-20 |
| 1134728371 | Amizen Home Care | Respite Care | 343 Brunell Dr, Hampton, VA 23666-3620 | 2020-10-19 |
| 1376142620 | Lakisha Davonda Moore | Nurse's Aide | 4410 Claiborne Sq E Unit 339, Hampton, VA 23666-2071 | 2020-10-19 |
| 1013515691 | Carnett Petrona Mcnaught | Registered Nurse | 436 Ryoaks Dr, Hampton, GA 30228-4923 | 2020-10-15 |
| 1366040081 | Philip Carrenard | Behavior Technician | 561 Oak Trl, Hampton, GA 30228-2793 | 2020-10-14 |
| 1588262729 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2000 Power Plant Pkwy, Hampton, VA 23666-3155 | 2020-10-10 |
| Find all providers in HAMPTON | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1003434028 | Carolyn Clanton Alf LLC | Assisted Living Facility | 1146 Hamilton Ave, Jennings, FL 32053-2253 | 2020-07-07 |
| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1134764368 | Aum Haven LLC | Assisted Living Facility | 2763 Carmel Ct, Kissimmee, FL 34746-3268 | 2019-11-12 |
| 1275180515 | 1161 Cambridge LLC | Assisted Living Facility | 1161 W 2nd St, Riviera Beach, FL 33404-7627 | 2019-08-21 |
| 1386291623 | Cambridge 13 LLC | Assisted Living Facility | 1560 W 13th St, Riviera Beach, FL 33404-6521 | 2019-08-21 |
| 1851948418 | 3411 Ave Cambridge LLC | Assisted Living Facility | 3411 Avenue H E, Riviera Beach, FL 33404-2101 | 2019-08-19 |
| 1326694308 | W 2nd Cambridge LLC | Assisted Living Facility | 570 W 2nd St, Riviera Beach, FL 33404-7616 | 2019-08-14 |
| 1154976512 | Quality Health Care of Florida.llc | Assisted Living Facility | 1250 Nw 122nd Ave, Plantation, FL 33323-2420 | 2019-08-02 |
| 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.