Organization Active NPI

Sunrise Home Care

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Anaheim, CA
National Provider Identifier
1043234487
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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)CodeLicenseStatePrimary
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.

  • CCN 55G052 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

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 Directory

NPI 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

Sources for this page

Verify at the official NPI Registry.