Sunrise Community Services LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

SUNRISE COMMUNITY SERVICES LLC

Doing business as

Sunrise Community Services LLC

Practice address

9781 Mangham Dr
Cincinnati, OH 45215-2349

Phone

(513) 290-0506

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly E. Fant

Title

Ceo

Phone

(270) 303-9462

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Community Services LLC Doing business as

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1093393712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9781 MANGHAM DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152349",
            "telephone_number": "513-290-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9781 MANGHAM DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152349",
            "telephone_number": "513-290-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "FANT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-303-9462"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Community Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Homemaker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.