Sunrise Congregate Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUNRISE CONGREGATE CORP

Practice address

14538 Leadwell St
Van Nuys, CA 91405-1905

Phone

(818) 287-8584

Fax

(818) 436-0340

NPI assigned

Jul 28, 2015

Last updated

Jul 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eduard Shaljyan

Title

Ceo

Phone

(818) 287-8584

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1134504459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14538 LEADWELL ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051905",
            "telephone_number": "818-287-8584",
            "fax_number": "818-436-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14538 LEADWELL ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051905",
            "telephone_number": "818-287-8584",
            "fax_number": "818-436-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CONGREGATE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "SHALJYAN",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-287-8584"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suman N.Patel,MD a Professional Corporation
• K. Sumlin
• Young S Sung, R.PH.
• Sunlight Hospice, Inc.
• Sunny Spot Speech and Language Therapy Inc.
• Sunrise Cosmed, a Medical Corporation
• Sunshine Adult Day Health Care Center Inc.
• Sunshine Elder Care Inc (HSM Home)
• Sunshine Hospice, Inc.
• Sunshine Imaging Center,Inc

• Skilled Nursing Facility in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.