Provider Demographics
NPI:1992004386
Name:A TO Z WELLNESS AND REHAB SERVICES, LLC
Entity Type:Organization
Organization Name:A TO Z WELLNESS AND REHAB SERVICES, LLC
Other - Org Name:SUNRISE HOME CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANCHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-776-6100
Mailing Address - Street 1:600 VINE ST
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-5039
Mailing Address - Country:US
Mailing Address - Phone:573-776-6100
Mailing Address - Fax:573-776-6123
Practice Address - Street 1:600 VINE ST
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-5039
Practice Address - Country:US
Practice Address - Phone:573-776-6100
Practice Address - Fax:573-776-6123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1992004386Medicare UPIN
MO267634Medicare Oscar/Certification