Provider Demographics
NPI:1508351420
Name:SUNRISE HOSPICE, INC.
Entity Type:Organization
Organization Name:SUNRISE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOHATAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-544-9334
Mailing Address - Street 1:4045 E UNION HILLS DR STE 104
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-3388
Mailing Address - Country:US
Mailing Address - Phone:602-926-1427
Mailing Address - Fax:602-218-6861
Practice Address - Street 1:4045 E UNION HILLS DR STE 104
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-3388
Practice Address - Country:US
Practice Address - Phone:602-926-1427
Practice Address - Fax:602-218-6861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-22
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based