Provider Demographics
NPI:1447733308
Name:RUMI SUNRISE LLC
Entity Type:Organization
Organization Name:RUMI SUNRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRABADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-747-4447
Mailing Address - Street 1:1070 STRADELLA RD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-2608
Mailing Address - Country:US
Mailing Address - Phone:714-747-4447
Mailing Address - Fax:949-417-1796
Practice Address - Street 1:4345 ALLOTT AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3813
Practice Address - Country:US
Practice Address - Phone:714-747-4447
Practice Address - Fax:949-417-1796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA197609089OtherDEPARTMENT OF SOCIAL SERVICES