Provider Demographics
NPI:1659554152
Name:SUNRISE HEALTH CARE LLC.
Entity Type:Organization
Organization Name:SUNRISE HEALTH CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:III
Authorized Official - Credentials:MBA
Authorized Official - Phone:937-723-9209
Mailing Address - Street 1:768 CONGRESS PARK DR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4045
Mailing Address - Country:US
Mailing Address - Phone:937-723-9209
Mailing Address - Fax:
Practice Address - Street 1:768 CONGRESS PARK DR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4045
Practice Address - Country:US
Practice Address - Phone:937-723-9209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1725575251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health