NPIMap

Organization Active NPI

Sunrise Community Inc.

  • Mental Illness Intermediate Care Facility
  • Tallahassee, FL
National Provider Identifier
1023699071
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
SUNRISE COMMUNITY INC.
Practice address
6122 Observation Cir
Tallahassee, FL 32317-0507
Phone
(305) 593-9040
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Ana Garcia
Title
Director of Revenue Cycle
Phone
(305) 273-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X Primary

Addresses

Primary practice location

6122 Observation Cir
Tallahassee, FL 32317-0507

Mailing address

9040 Sunset Dr
Miami, FL 33173-3432
Phone (305) 273-3047

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Tallahassee

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 10G131

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SUNRISE COMMUNITY INC.
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 24, 2022
Last certification
Jan 16, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
6122 Observation Circle
Tallahassee, FL 32317

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Community Inc57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

6122 Observation Cir
Tallahassee, FL 32317
Phone (305) 593-9040

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1023699071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733432",
            "telephone_number": "305-273-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 OBSERVATION CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323170507",
            "telephone_number": "305-593-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "305-273-3047"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tallahassee",
            "affiliation": "N",
            "address_1": "6122 Observation Cir",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323170507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.