Provider Demographics
NPI:1528211893
Name:SUNRISE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:SUNRISE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FELIPE
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-628-7399
Mailing Address - Street 1:10840 WARNER AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3847
Mailing Address - Country:US
Mailing Address - Phone:714-861-4015
Mailing Address - Fax:714-861-4421
Practice Address - Street 1:10840 WARNER AVE STE 105
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3847
Practice Address - Country:US
Practice Address - Phone:714-861-4015
Practice Address - Fax:714-861-4421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health