Provider Demographics
NPI:1336719756
Name:SUNRISE HEALTH CARE INC
Entity Type:Organization
Organization Name:SUNRISE HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEONG
Authorized Official - Middle Name:SEO
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-993-2607
Mailing Address - Street 1:3927 BLENHEIM BLVD STE 102A
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2422
Mailing Address - Country:US
Mailing Address - Phone:571-606-7299
Mailing Address - Fax:
Practice Address - Street 1:3927 BLENHEIM BLVD STE 102A
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2422
Practice Address - Country:US
Practice Address - Phone:571-606-7299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care