Sunrise Guest Home 1 & 2

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

347001937 Issued in CA

Legal business name

SUNRISE GUEST HOME 1 & 2

Practice address

8818 Sharkey Ave
Elk Grove, CA 95624-1873

Phone

(916) 714-0853

Fax

(916) 685-6910

NPI assigned

Dec 29, 2007

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Myrna Que Descargar, LVN

Title

Licensee/Administrator

Phone

(916) 714-0853

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1063697829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 GREAT CT",
            "address_2": "8818 SHARKEY AVE",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241873",
            "telephone_number": "916-714-0853",
            "fax_number": "916-685-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8818 SHARKEY AVE",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241873",
            "telephone_number": "916-714-0853",
            "fax_number": "916-685-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE GUEST HOME 1 & 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-29",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "DESCARGAR",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "QUE",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "916-714-0853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347000538",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347001937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sunrise Guest Home, Inc. (Sunrise Guest Home II)
• Sunrise Guest Home, Inc. (Sunrise Guest Home I)
• Mary Jean Sunzeri, RCP
• Jamie Superak, ATC
• Surgical Nursing Consultants, Inc

• Assisted Living Facility in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.