Provider Demographics
NPI:1477792463
Name:SUNRISE CARE, LLC
Entity Type:Organization
Organization Name:SUNRISE CARE, LLC
Other - Org Name:MOUNT PLEASANT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-483-1119
Mailing Address - Street 1:155-157 MOUNT PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-3963
Mailing Address - Country:US
Mailing Address - Phone:973-483-1119
Mailing Address - Fax:973-483-7477
Practice Address - Street 1:155-157 MOUNT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-3963
Practice Address - Country:US
Practice Address - Phone:973-483-1119
Practice Address - Fax:973-483-7477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)