NPIMap

Organization Active NPI

Sunrise Home Health Care Services, Inc.

  • Home Health Agency
  • Merrillville, IN
National Provider Identifier
1093038853
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PENDING Issued in IN
Legal business name
SUNRISE HOME HEALTH CARE SERVICES, INC.
Practice address
1459 E 84TH PL
Merrillville, IN 46410-6451
Phone
(219) 738-2000
Fax
(219) 738-2005
NPI assigned
Mar 9, 2010
Last updated
May 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Mr. Michael Ray Dodson, RN
Title
Administrator
Phone
(219) 738-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PENDING IN Primary

Addresses

Primary practice location

1459 E 84TH PL
Merrillville, IN 46410-6451

Mailing address

1459 E 84TH PL
Merrillville, IN 46410-6451
Phone (219) 738-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100923001049 IN Part A Provider - Home Health Agency 1951427244 Practice locations: Merrillville, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093038853. Details of each certification follow.

Home health agency certification: CCN 157634

Legal name
SUNRISE HOME HEALTH CARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 2011
Last certification
Jul 24, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 12, 2009 in IN
Enrollment address
2711 W Lincoln Highway
Merrillville, IN 46410-5236

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sunrise Home Health Care Services IncCCN 157634 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Oct 17, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2711 W Lincoln Hwy
Merrillville, IN 46410
Phone (219) 738-2000

1459 E 84th Pl
Merrillville, IN 46410
Phone (219) 738-2000

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ray Dodson Individual 5% Or Greater Direct Ownership Interest Nov 12, 2009 95%
General Partnership Interest Nov 12, 2009
Corporate Director Nov 12, 2009
Michael Dodson Individual 5% Or Greater Direct Ownership Interest Nov 12, 2009 5%
Corporate Director Nov 12, 2009
W-2 Managing Employee Nov 12, 2009

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1093038853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 E 84TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106451",
            "telephone_number": "219-738-2000",
            "fax_number": "219-738-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 E 84TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106451",
            "telephone_number": "219-738-2000",
            "fax_number": "219-738-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-738-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.