Provider Demographics
NPI:1174186555
Name:NAKIAS SUNRISE SERVICES
Entity Type:Organization
Organization Name:NAKIAS SUNRISE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:ELEASE
Authorized Official - Last Name:SALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-459-7903
Mailing Address - Street 1:5402 68TH LN N APT 9103
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-3040
Mailing Address - Country:US
Mailing Address - Phone:813-459-7903
Mailing Address - Fax:
Practice Address - Street 1:5402 68TH LN N APT 9103
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-3040
Practice Address - Country:US
Practice Address - Phone:813-459-7903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-21
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty