NPIMap

Organization Active NPI

Sunrise Community, Inc.

Doing business as Sunrise Group Home-22nd Street

  • Intellectual Disabilities Intermediate Care Facility
  • Homestead, FL
National Provider Identifier
1114086428
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
SUNRISE COMMUNITY, INC.
Doing business as
Sunrise Group Home-22nd Street
Practice address
444 NW 22ND St
Homestead, FL 33030-3134
Phone
(305) 245-5577
NPI assigned
Dec 6, 2006
Last updated
May 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Ana Karina Garcia
Title
Accounts Receivable Manager
Phone
(305) 273-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

444 NW 22ND St
Homestead, FL 33030-3134

Mailing address

444 NW 22ND St
Homestead, FL 33030-3134

Other identifiers 1

IdentifierTypeStateIssuer
U028065800MedicaidFL

Other names 1

  • Sunrise Group Home-22nd Street Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114086428. Details of each certification follow.

  • CCN 10G121 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 10G121

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SUNRISE COMMUNITY INC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Mar 3, 1994
Last certification
Oct 8, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
444 NW 22ND Street
Homestead, FL 33030

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Community Inc57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1114086428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NW 22ND ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NW 22ND ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303134",
            "telephone_number": "305-245-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "KARINA",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "305-273-3047"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U028065800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Group Home-22nd Street",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise Group Home-22nd Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.