NPIMap

Organization Active NPI

Sunrise Community, Inc.

Doing business as Green Tree Cluster

  • Intellectual Disabilities Intermediate Care Facility
  • Miami, FL
National Provider Identifier
1124107610
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
Green Tree Cluster
Practice address
9040 SW 72ND St
Miami, FL 33173-3432
Phone
(305) 596-9040
Fax
(305) 598-8240
NPI assigned
Nov 3, 2006
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 Primary

Addresses

Primary practice location

9040 SW 72ND St
Miami, FL 33173-3432

Mailing address

9040 SW 72ND St
Miami, FL 33173-3432
Phone (305) 596-9040

Other identifiers 1

IdentifierTypeStateIssuer
U028028301MedicaidFL

Other names 1

  • Green Tree Cluster Doing business as

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1124107610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733432",
            "telephone_number": "305-596-9040",
            "fax_number": "305-598-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733432",
            "telephone_number": "305-596-9040",
            "fax_number": "305-598-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U028028301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Tree Cluster",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Tree Cluster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.