SUNRISE COMMUNITY, INC. (NPI# 1902420854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902420854 |
| Entity Type | Organization |
| Organization Name | SUNRISE COMMUNITY, INC. |
| Practice Address |
817 W Wheeler Rd Brandon FL 33510-2140 |
| Mailing Address |
9040 Sunset Dr Miami FL 33173-3432 |
| Practice Telephone | 8136894470 |
| Mailing Telephone | 3052733047 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | ANA GARCIA (ACCOUNTS RECEIVABLE MANAGER) |
| Authorized Official Telephone | 3052733047 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Nettles | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1245399104 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 2821 Sw Pine Island Rd, Cape Coral, FL 33991-1706 | 2006-12-07 |
| Street Address |
817 W WHEELER RD |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174050371 | Andre Morris | Intermediate Care Facility, Mental Illness | 338 Daniels Pointe Dr, Winter Garden, FL 34787-4347 | 2017-05-18 |
| 1184920605 | Carine Robert | Intermediate Care Facility, Mental Illness | 11999 Nw 13th St, Pembroke Pines, FL 33026-3878 | 2011-01-31 |
| 1710162466 | Natalie and Erik Tiltins | Intermediate Care Facility, Mental Illness | 17919 Hwy. 231, Fountain, FL 32438 | 2007-12-31 |
| 1417137225 | Natalie and Erik Tiltins | Intermediate Care Facility, Mental Illness | 17919 Highway 231, Fountain, FL 32438-0500 | 2007-11-08 |
| 1942489265 | Sunshine Acres Assisted Living Facility, Inc. | Intermediate Care Facility, Mental Illness | 2563 River Rd, Caryville, FL 32427-2013 | 2007-11-02 |
| 1699802207 | Priority Life Services, Corp | Intermediate Care Facility, Mental Illness | 707 S 19th Ave Apt 6, Hollywood, FL 33020-5400 | 2007-02-28 |
| 1578600094 | Hll of Miami Corp | Intermediate Care Facility, Mental Illness | 9441 Sw 27th Dr, Miami, FL 33165-3103 | 2007-01-31 |
| 1366598484 | National Mentor Healthcare Network | Intermediate Care Facility, Mental Illness | 5808 Kinkaid Rd, Jacksonville, FL 32244-1034 | 2007-01-25 |
| 1568461671 | Panama City Developmental Center | Intermediate Care Facility, Mental Illness | 1407 Lincoln Dr, Panama City, FL 32401-2870 | 2005-07-20 |
| 1609875160 | Tallahassee Developmental Center | Intermediate Care Facility, Mental Illness | 455 Appleyard Dr, Tallahassee, FL 32304-2808 | 2005-07-18 |
| 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.