Provider Demographics
NPI:1972276061
Name:SUNRISE HOSPICE FOUNDATION INC
Entity Type:Organization
Organization Name:SUNRISE HOSPICE FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-203-5076
Mailing Address - Street 1:533 PETERS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6586
Mailing Address - Country:US
Mailing Address - Phone:818-875-4203
Mailing Address - Fax:818-875-4167
Practice Address - Street 1:533 PETERS AVE STE 100
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6586
Practice Address - Country:US
Practice Address - Phone:818-875-4203
Practice Address - Fax:818-875-4167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based