Provider Demographics
NPI:1699024810
Name:SUNRISE HOME CARE INC.
Entity Type:Organization
Organization Name:SUNRISE HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT , DON , RN
Authorized Official - Prefix:MR
Authorized Official - First Name:GIRALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARABALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-426-3043
Mailing Address - Street 1:9380 SW 72ND ST
Mailing Address - Street 2:SUITE B140
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3276
Mailing Address - Country:US
Mailing Address - Phone:305-596-1169
Mailing Address - Fax:305-596-1169
Practice Address - Street 1:9380 SW 72ND ST
Practice Address - Street 2:SUITE B140
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3276
Practice Address - Country:US
Practice Address - Phone:305-596-1169
Practice Address - Fax:305-596-1169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-04
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994006251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN