Provider Demographics
NPI:1881701597
Name:SUNRISE HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:SUNRISE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:GILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-956-9080
Mailing Address - Street 1:1822 MEARNS RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1195
Mailing Address - Country:US
Mailing Address - Phone:215-956-9080
Mailing Address - Fax:
Practice Address - Street 1:336 YORK RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4500
Practice Address - Country:US
Practice Address - Phone:215-956-2344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA09593659335E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0168600002Medicare NSC