Provider Demographics
NPI:1295562841
Name:SUNRISE CARE LLC
Entity type:Organization
Organization Name:SUNRISE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NARAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BASTOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-302-4089
Mailing Address - Street 1:7524 HASTINGS ST
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-3201
Mailing Address - Country:US
Mailing Address - Phone:614-302-4089
Mailing Address - Fax:
Practice Address - Street 1:2054 WALNUT HILL PARK DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-3053
Practice Address - Country:US
Practice Address - Phone:614-302-4089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health