Provider Demographics
NPI:1750128294
Name:SUNRISE NEMT LLC
Entity type:Organization
Organization Name:SUNRISE NEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPEHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-828-1236
Mailing Address - Street 1:7792 CURRY DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-1200
Mailing Address - Country:US
Mailing Address - Phone:509-492-8007
Mailing Address - Fax:
Practice Address - Street 1:7792 CURRY DAVIS DR
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-1200
Practice Address - Country:US
Practice Address - Phone:509-492-8007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)