Provider Demographics
NPI:1982849964
Name:SUNRISE PERSONAL ASSISTANT SERVICES
Entity Type:Organization
Organization Name:SUNRISE PERSONAL ASSISTANT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASCOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-909-5061
Mailing Address - Street 1:5205 CLEARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3818
Mailing Address - Country:US
Mailing Address - Phone:956-909-5061
Mailing Address - Fax:
Practice Address - Street 1:5205 CLEARVIEW DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3818
Practice Address - Country:US
Practice Address - Phone:956-909-5061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health