Provider Demographics
NPI:1982161642
Name:SUNRISE HORIZONS, LLC
Entity Type:Organization
Organization Name:SUNRISE HORIZONS, LLC
Other - Org Name:FIRSTLIGHT HOME CARE OF METRO ATLANTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOOTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRADHAN
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:770-851-7556
Mailing Address - Street 1:3724 LANGLEY OAKS PL SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-4978
Mailing Address - Country:US
Mailing Address - Phone:770-851-7556
Mailing Address - Fax:
Practice Address - Street 1:3724 LANGLEY OAKS PL SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-4978
Practice Address - Country:US
Practice Address - Phone:770-851-7556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care