Provider Demographics
NPI:1760949267
Name:SUNRISE TRANSITIONAL CARE, LLC
Entity Type:Organization
Organization Name:SUNRISE TRANSITIONAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:P
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-989-3345
Mailing Address - Street 1:52 OBSIDIAN WAY
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-9470
Mailing Address - Country:US
Mailing Address - Phone:925-989-3345
Mailing Address - Fax:925-380-1668
Practice Address - Street 1:2863 CARMEN AVE
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4808
Practice Address - Country:US
Practice Address - Phone:925-989-3345
Practice Address - Fax:925-380-1668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing FacilityGroup - Single Specialty