Provider Demographics
NPI:1417638958
Name:SUNRISE HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:SUNRISE HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANA
Authorized Official - Middle Name:YAA
Authorized Official - Last Name:FRIMPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-599-1555
Mailing Address - Street 1:3001 BRICE ROAD, BOX 314
Mailing Address - Street 2:
Mailing Address - City:BRICE
Mailing Address - State:OH
Mailing Address - Zip Code:43109
Mailing Address - Country:US
Mailing Address - Phone:614-599-1555
Mailing Address - Fax:614-626-3891
Practice Address - Street 1:3001 BRICE ROAD
Practice Address - Street 2:
Practice Address - City:BRICE
Practice Address - State:OH
Practice Address - Zip Code:43109
Practice Address - Country:US
Practice Address - Phone:614-599-1555
Practice Address - Fax:614-626-3891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health