Provider Demographics
NPI:1811721269
Name:SUNRISE ADH CHELSEA, LLC
Entity type:Organization
Organization Name:SUNRISE ADH CHELSEA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEGAL
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:P
Authorized Official - Last Name:KELSEY
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:603-475-3544
Mailing Address - Street 1:125 LIBRARY ST
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-3301
Mailing Address - Country:US
Mailing Address - Phone:857-776-6200
Mailing Address - Fax:
Practice Address - Street 1:125 LIBRARY ST
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-3301
Practice Address - Country:US
Practice Address - Phone:857-776-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care