NPIMap

Organization Active NPI

Sunrise Services, Inc.

  • Community/Behavioral Health Agency
  • Everett, WA
National Provider Identifier
1013092550
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUNRISE SERVICES, INC.
Practice address
1718 Broadway
Everett, WA 98201-2347
Phone
(425) 595-5200
Fax
(425) 595-5201
NPI assigned
Oct 25, 2006
Last updated
May 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sue A. Closser
Title
Ceo
Phone
(425) 493-5800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1718 Broadway
Everett, WA 98201-2347

Mailing address

PO Box 2569
Everett, WA 98213-0569
Phone (425) 493-5800

Other identifiers 1

IdentifierTypeStateIssuer
1981554MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101112000351 WA Part B Supplier - Clinic/Group Practice 4981799483 Receives reassigned benefits from 12 practitioners
Practice locations: Oak Harbor, WA; Mountlake Terrace, WA; Mount Vernon, WA; Everett, WA; Bellingham, WA

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Services Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

107 S Main St
Coupeville, WA 98239
Phone (360) 544-3888

1021 N Broadway
Everett, WA 98201
Phone (425) 493-5800

1520 Broadway
Everett, WA 98201
Phone (425) 493-5803

825 Madison St
Everett, WA 98203
Phone (425) 493-5800

6505 218th St SW
Ste 6
Mountlake Ter, WA 98043

10212 Collins Rd
Sedro Woolley, WA 98284
Phone (360) 856-1326

Practitioners & affiliated clinicians

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1013092550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2569",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982130569",
            "telephone_number": "425-493-5800",
            "fax_number": "425-493-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012347",
            "telephone_number": "425-595-5200",
            "fax_number": "425-595-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "CLOSSER",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-493-5800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1981554",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.