Provider Demographics
NPI:1710287925
Name:SUNRISE MEDICAL ALERTS LLC
Entity Type:Organization
Organization Name:SUNRISE MEDICAL ALERTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATNODE-EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-687-6086
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:DIVIDE
Mailing Address - State:CO
Mailing Address - Zip Code:80814
Mailing Address - Country:US
Mailing Address - Phone:719-687-6086
Mailing Address - Fax:
Practice Address - Street 1:101 STEPHANIE PL
Practice Address - Street 2:
Practice Address - City:DIVIDE
Practice Address - State:CO
Practice Address - Zip Code:80814
Practice Address - Country:US
Practice Address - Phone:719-687-6086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20101552376333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies