Organization Active NPI

Sunrise House Adult Day Care

  • Adult Day Care Clinic/Center
  • Hampton, VA
National Provider Identifier
1053799692
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC 1045630 Issued in VA
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

Updated by the provider on May 15, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0087305212MedicaidVA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.