Provider Demographics
NPI:1942408679
Name:SUNRISE HOSPICE HOME CARE, INC.
Entity Type:Organization
Organization Name:SUNRISE HOSPICE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVELO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:626-217-8173
Mailing Address - Street 1:701 S ATLANTIC BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-3844
Mailing Address - Country:US
Mailing Address - Phone:626-282-2648
Mailing Address - Fax:626-282-0568
Practice Address - Street 1:701 S ATLANTIC BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-3844
Practice Address - Country:US
Practice Address - Phone:626-282-2648
Practice Address - Fax:626-282-0568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Multi-Specialty