SUNBURST CARE CENTER (NPI# 1811105919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811105919 |
| Entity Type | Organization |
| Organization Name | SUNBURST CARE CENTER |
| Practice Address |
16624 Sunburst St North Hills CA 91343-4031 |
| Mailing Address |
19684 Los Alimos St Chatsworth CA 91311-1934 |
| Practice Telephone | 8188921922 |
| Mailing Telephone | 8188310625 |
| Mailing Fax Number | 8183683638 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PERRY EDWARD RASO (SECRETARY TREASURER) |
| Authorized Official Telephone | 8188310625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | LTC60817F | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI CAL | LTC60817F | 01 |
| Street Address |
16624 SUNBURST ST |
| City | NORTH HILLS |
| State | CA |
| Zip Code | 91343-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261681 | Esperanza Armenta | Case Manager/Care Coordinator | 16861 Parthenia Street, North Hills, CA 91343 | 2020-09-30 |
| 1295355758 | Island One and Associates | Social Worker | 9528 Lemona Ave, North Hills, CA 91343 | 2020-04-24 |
| 1154951416 | Estefanie Ramos | Case Manager/Care Coordinator | 16861 Parthenia St., North Hills, CA 91343 | 2020-01-24 |
| 1336793728 | Mitra Minovi | Dentist | 9444 Ruffner Ave, Northridge, CA 91343 | 2019-07-24 |
| 1649762600 | Reza Akbar, Dds, Inc. | Dentist | 15300 Parthenia St, North Hills, CA 91343 | 2018-06-05 |
| 1073002663 | Golmah Zarinkhou | Student in an Organized Health Care Education/Training Program | Va Sepulveda Ambulatory Care Center, 16111 Plummer, Street Dental Services (160), Bldg 10 Rm 1c-100, North Hills, CA 91343 | 2018-05-09 |
| 1740729037 | Ophelia Sanchez | Case Manager/Care Coordinator | 15305 Rayen, North Hills, CA 91343 | 2017-02-20 |
| 1386001519 | Ada Angeles | Dietitian, Registered | 15210 Parthenia, North Hills, CA 91343 | 2016-01-19 |
| 1043691371 | Valley Grace Home, Inc. | Skilled Nursing Facility | 16052 Chase St, North Hills, CA 91343 | 2015-06-11 |
| 1063828234 | Joshua Tree Healthcare, Inc. | Home Health | 16909 Parthenia St Ste 302a, Northridge, CA 91343 | 2014-07-08 |
| Find all providers in zip 91343 | ||||
| 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 |
|---|---|---|---|---|
| 1639564552 | New Horizons: Serving Individuals With Special Needs | Intermediate Care Facility, Mentally Retarded | 15725 Parthenia St, North Hills, CA 91343-4913 | 2015-03-30 |
| 1356550529 | Sunburst Care Center #3 | Intermediate Care Facility, Mentally Retarded | 16518 Tupper St, North Hills, CA 91343-2833 | 2007-05-22 |
| 1295944023 | Therapeutic Living Centers for The Blind, Inc. | Intermediate Care Facility, Mentally Retarded | 8808 Woodley Ave, North Hills, CA 91343-4732 | 2007-05-21 |
| 1124247333 | San Fernando Valley Association for The Retarded | Intermediate Care Facility, Mentally Retarded | 15859 Parthenia St, North Hills, CA 91343-4801 | 2007-04-25 |
| 1689893893 | San Fernando Valley Association for The Retarded | Intermediate Care Facility, Mentally Retarded | 15713 Parthenia St Apt B, North Hills, CA 91343-7608 | 2007-04-25 |
| 1306065511 | San Fernando Valley Association for The Retarded | Intermediate Care Facility, Mentally Retarded | 15746 Parthenia St Apt A, North Hills, CA 91343-7613 | 2007-04-25 |
| 1215156427 | San Fernando Valley Association for The Retarded | Intermediate Care Facility, Mentally Retarded | 15746 Parthenia St Apt B, North Hills, CA 91343-7614 | 2007-04-25 |
| 1871711416 | Rainbow Horizons | Intermediate Care Facility, Mentally Retarded | 8723 Haskell Ave, North Hills, CA 91343-4907 | 2007-04-20 |
| 1164640793 | San Fernando Valley Association for The Retarded | Intermediate Care Facility, Mentally Retarded | 15713 Parthenia St Apt A, North Hills, CA 91343-7607 | 2007-04-20 |
| 1245383975 | Valley Village | Intermediate Care Facility, Mentally Retarded | 16124 Tupper St, North Hills, CA 91343-3048 | 2007-01-18 |
| Find all providers in NORTH HILLS | ||||
| City | NORTH HILLS |
| Zip Code | 91343 |
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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.