NPIMap

Organization Active NPI

Sunrise Personal Care LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1124841531
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUNRISE PERSONAL CARE LLC
Practice address
5115 Wild Creek Falls Way
Las Vegas, NV 89141-8635
Phone
(702) 408-5272
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Hazem Salem
Title
Owner/Adminstrator
Phone
(702) 408-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5115 Wild Creek Falls Way
Las Vegas, NV 89141-8635

Mailing address

225 S Stephanie St Apt 424
Henderson, NV 89012-4409
Phone (702) 408-5272

Other names 1

  • Sunrise Personal Care LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1124841531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S STEPHANIE ST APT 424",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124409",
            "telephone_number": "702-408-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 WILD CREEK FALLS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418635",
            "telephone_number": "702-408-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "HAZEM",
        "authorized_official_title_or_position": "OWNER/ADMINSTRATOR",
        "authorized_official_telephone_number": "702-408-2572"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Personal Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.