Active NPI
Sunrise Home Care
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Anaheim, CA
National Provider Identifier
1043234487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- SUNRISE HOME CARE
- Practice address
- 306 N Siesta St
Anaheim, CA 92801-5117 - Phone
- (714) 776-7868
- Fax
- (714) 776-8736
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lourdes Gatchalian, RN
- Title
- Owner
- Phone
- (714) 743-7191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | NU | Primary |
Addresses
Primary practice location
306 N Siesta St
Anaheim, CA 92801-5117
Mailing address
306 N Siesta St
Anaheim, CA 92801-5117
Phone (714) 776-7868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1043234487. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G052
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 HOME CARE
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jan 21, 1997
- Last certification
- Feb 4, 2025
- Beds
- 6
- Ownership / control type
- Private (non-profit)
- Facility address
- 306 N Siesta Street
Anaheim, CA 92801
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216857600000",
"number": "1043234487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 N SIESTA ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015117",
"telephone_number": "714-776-7868",
"fax_number": "714-776-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 N SIESTA ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015117",
"telephone_number": "714-776-7868",
"fax_number": "714-776-8736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2008-07-24",
"status": "A",
"authorized_official_last_name": "GATCHALIAN",
"authorized_official_first_name": "LOURDES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-743-7191",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
- Joon H. Sung, MD
- Sunghye Med Corp
- Merlin Ann Sunny, D.O.
- Sunrays Home Care, LLC (Sunrays Transportation)
- Sunrise Diagnostic, Inc.
- Sunrise Hospice Care Corporation
- Sunrise Palliative and Hospice Inc
- Sunshine Infectious Disease Medical Group
- Superior Mobile Ultrasound Company
- Rachelle Saldana Suppiphatvong
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.