Organization Active NPI

Sunrise Care & Consulting, LLC

  • Case Manager/Care Coordinator
  • Melbourne, FL
National Provider Identifier
1073186912
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SUNRISE CARE & CONSULTING, LLC
Practice address
1600 W Eau Gallie Blvd Ste 205P
Melbourne, FL 32935-4149
Phone
(321) 917-5807
Fax
(321) 574-4116
NPI assigned
Jul 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Jadeth Adreana Yepez, MPA, CBHCMNPI 1922457233
Title
Case Manager/Care Coordinator
Phone
(321) 917-5807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

1600 W Eau Gallie Blvd Ste 205P
Melbourne, FL 32935-4149

Mailing address

1600 W Eau Gallie Blvd Ste 205P
Melbourne, FL 32935-4149
Phone (321) 917-5807

National Provider Directory

National Provider Directory

Locations

1600 W Eau Gallie Blvd
Ste 205P
Melbourne, FL 32935
Phone (321) 917-5807

6767 N Wickham Rd
Ste 400O
Melbourne, FL 32940

1275 US Highway 1
Vero Beach, FL 32960
Phone (321) 626-7122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1073186912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W EAU GALLIE BLVD STE 205P",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354149",
            "telephone_number": "321-917-5807",
            "fax_number": "321-574-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W EAU GALLIE BLVD STE 205P",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354149",
            "telephone_number": "321-917-5807",
            "fax_number": "321-574-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CARE & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "YEPEZ",
        "authorized_official_first_name": "JADETH",
        "authorized_official_middle_name": "ADREANA",
        "authorized_official_title_or_position": "CASE MANAGER/CARE COORDINATOR",
        "authorized_official_telephone_number": "321-917-5807",
        "authorized_official_credential": "MPA, CBHCM"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.