Provider Demographics
NPI:1679806434
Name:SUNRISE HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:SUNRISE HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:DAKANE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:612-721-9001
Mailing Address - Street 1:1711 1/2 E LAKE ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-5754
Mailing Address - Country:US
Mailing Address - Phone:612-721-9001
Mailing Address - Fax:612-721-9002
Practice Address - Street 1:1711 1/2 E LAKE ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-5754
Practice Address - Country:US
Practice Address - Phone:612-721-9001
Practice Address - Fax:612-721-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health