Sunrise Lifestyle Centers LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

SUNRISE LIFESTYLE CENTERS LLC

Practice address

658 Kenilworth Dr
Suite 100
Towson, MD 21204-2312

Phone

(410) 296-4901

Fax

(410) 296-4971

NPI assigned

Apr 27, 2006

Organization subpart

Yes

Parent organization

SUNRISE LIFESTYLE CENTERS LLCAs reported in NPPES

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

Authorized official

Name

Jeff T Grade

Title

Ceo

Phone

(847) 656-0353

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Sunrise Health Centers Doing business as

Part of

Sunrise Health Center

Locations

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1023075561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SKOKIE BLVD",
            "address_2": "SUITE 440",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621601",
            "telephone_number": "847-656-0353",
            "fax_number": "847-656-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 KENILWORTH DR",
            "address_2": "SUITE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042312",
            "telephone_number": "410-296-4901",
            "fax_number": "410-296-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE LIFESTYLE CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE LIFESTYLE CENTERS LLC",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "GRADE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-656-0353"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "21-4530",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Towson, MD
• Providers in Towson, MD by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.