Provider Demographics
NPI:1346499373
Name:SUNRISE CARE AT HOME
Entity Type:Organization
Organization Name:SUNRISE CARE AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:GAZA
Authorized Official - Last Name:CERVANIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-933-1141
Mailing Address - Street 1:82 SHELTER LN
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2859
Mailing Address - Country:US
Mailing Address - Phone:415-933-1141
Mailing Address - Fax:650-991-8905
Practice Address - Street 1:82 SHELTER LN
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2859
Practice Address - Country:US
Practice Address - Phone:415-933-1141
Practice Address - Fax:650-991-8905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health