Active NPI
Sunrise House Adult Day Care
- Adult Day Care Clinic/Center
- Hampton, VA
National Provider Identifier
1053799692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- ADC 1045630
- Legal business name
- SUNRISE HOUSE ADULT DAY CARE
- Practice address
- 1310 Todds LN
Hampton, VA 23666-1934 - Phone
- (757) 896-0800
- Fax
- (757) 826-4670
- NPI assigned
- May 15, 2015
- 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
- Mr. Wayne Harrison
- Title
- Administrator
- Phone
- (757) 896-0800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | ADC 1045630 | VA | Primary |
Addresses
Primary practice location
1310 Todds LN
Hampton, VA 23666-1934
Mailing address
1310 Todds LN
Hampton, VA 23666-1934
Phone (757) 896-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0087305212 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431648000000",
"number": "1053799692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 TODDS LN",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236661934",
"telephone_number": "757-896-0800",
"fax_number": "757-826-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 TODDS LN",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236661934",
"telephone_number": "757-896-0800",
"fax_number": "757-826-4670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE HOUSE ADULT DAY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-15",
"last_updated": "2015-05-15",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "757-896-0800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "VA",
"license": "ADC 1045630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0087305212",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.