Provider Demographics
NPI:1295041036
Name:SUNRISE HOME HEALTH CARE PROVIDER, INC.
Entity Type:Organization
Organization Name:SUNRISE HOME HEALTH CARE PROVIDER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUYING
Authorized Official - Middle Name:
Authorized Official - Last Name:ARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-922-0378
Mailing Address - Street 1:939 S ATLANTIC BLVD STE 209B
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1064
Mailing Address - Country:US
Mailing Address - Phone:626-922-0378
Mailing Address - Fax:
Practice Address - Street 1:939 S ATLANTIC BLVD STE 209B
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1064
Practice Address - Country:US
Practice Address - Phone:626-922-0378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health